798 MAIN ST - ELECTRIC IRRIGATION SAFETY r ;c r
, s, CITY OF ATLANTIC BEACH
'`'- 800 SEMINOLE ROAD
J ,_:..5:-)
;r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1851
Job Type: ELECTRIC ONLY
Description: SAFETY INSPECTION ON METER 26888333 FOR SPRINKLER
METER
Estimated Value:
Issue Date: 8/15/2016
Expiration Date: 2/11/2017
PROPERTY ADDRESS:
Address: 798 MAIN ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: CRAWFORD ELECTRIC
Address: P 0 BOX 51045 QA JOHN ROBERT CRAWFORD III
Phone: 904-241-5591
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole_Rd,Atiantic-Beach-,-FL 3223-3------1.—/—�
Ph(904)247-5826 Fax(904) 247-5845 �U` -1851—
JOB
17Jos ADDRESS: <� ' ►if,. qmo.j Cser, .I v AtL' ) PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead 0 Underground ❑J Underground up Pole
OResidential(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
0Commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
O Swimming Pool 0 Sign OSmoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ ct*)
REPAIRS/MISCELLANEOUS `'(,
❑Replace Burnt/Damaged Meter Can 4afety Inspection ❑Panel Change ❑OH to UG /� • '
C
Other: � 1l^,s(lt,v�wr C°1
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name �t/L/ Phone Number
Electrical Company - Ci& �/t i2ok C•cteetekr frtOffice Phone L`(I-S-T1 / Fax zYt- le 37
Co.Address: 2' I &N1\ '.. t f /� Rio( City .J't 1• kc& State FC. Zip 3 2 2 GC
License Holder(Print): acv L R . C .
l .W r%'" 2 State Certification/Registration# IC /3c r. y9
Notarized Signature o License . s a •r
TONT ;:E-sW'GER
fr: MYCOMMISSION If FF 924951 B.. ore me ,s 1 day o, ¶I 20 l
EXPIRES:October 6,2019 !V
h'? ra a: mN No+ P�bu�u"° ature of Notary Public