1823 ATLANTIC BEACH DR - ELECTRIC NEW SERVICE i! "
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,, CITY OF ATLANTIC BEACH
"- ''tel 1 f 800 SEMINOLE ROAD
U yr ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1860
Job Type: ELECTRIC ONLY
Description: NEW ELECTRIC SERVICE - 300 AMPS. 240 VOLTS, SINGLE
PHASE
Estimated Value:
Issue Date: 8/16/2016
Expiration Date: 2/12/2017
PROPERTY ADDRESS:
Address: 1823 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: RIGHTWAY ELECTRICAL CONT. INC
Address: 3551 S SANCTUARY WAY QA JACOB TODD IANNELLO
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $90.00
Trade Permit Base Fee $55.00
Total Payments: $149.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH I S6 0
800 Seminole Rd,Atlantic Beach-,-FL 32233- --
Ph(904)247-5826 Fax(904) 247-5845 ( Cp -ELEC
JOB ADDRESS: /9?3 A7 y wrn c S EAcu be. PERMIT#
6- col- tQl3
JEA INFORMATION REQUIRED ON ALL PERMITS 4 co AMPS ?,i VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE El Overhead ( ] Underground nJ Underground up Pole
residential(Main)Service
00-100 amps ❑101-150amps 0 151-200amps 66 300 amps #of Meters /
:Commercial(Main)Service
❑0-100 amps 0101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps #ofUnitMeters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. •
Outlets/Switches: 0-3 Damps 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 0Smoke Detectors_Qty 0 Transformers KVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can :Safety Inspection :Panel Change ❑OH to UG
0 Other:
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 M412 cu 3 ,t t f ri !Jo Mi c Phone Number k p a - ss•0 6
Electrical Company RI6617wAy ELFsr4Ic4c eoNTRAcron f Office Phone Psi-t to.>i Fax PSI-sz or-
Co.Address: ii2g3-j 37 sodsj #ra0.t,r►.4( ot<,r y J City JAcrtsarvu ice if State R t Zip i 22 sic,
License Holder(Print): SA c013 =4KNELI 6 State Certification/Registration# 13 o a,//yr
Notarized Signature of License Holder e,.1 �...., -
,, a:%$o*,- TONT GINDLESPERGER efore me this_ day 0�t C� 2 t
MY COMMISSION#FF 924951
a EXPIRES:October 6,2019 �► l
'oI'Y'' `' BondedThruNotaryPubiiccUrdewniters ignature of Notary Public • _ rD