1845 HICKORY LN - ELECTRIC , 'rf------- JJ)
SS, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-1876
Job Type: ELECTRIC ONLY
Description: ELECTRIC - RELOCATE 2 SWITCHES
Estimated Value:
Issue Date: 8/18/2016
Expiration Date: 2/14/2017
PROPERTY ADDRESS:
Address: 1845 HICKORY LN
RE Number: 172020-1436
PROPERTY OWNER:
Name: MCMENEMY, THOMAS M & PATI J, *
Address: 1845 HICKORY LN
GENERAL CONTRACTOR INFORMATION:
Name: RIVER CITY ELECTRIC
Address: 2825 HOLLYBAY RD QA JOHN REX COOK
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $1.20
Trade Permit Base Fee $55.00
Total Payments: $60.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 1- G
Ph(904) 247-5826 Fax (904) 247-5845 FJ C-c--"l 67(o
JOB ADDRESS: 1Lk"S"-- -k-,--\(---c):----k \--o.v^e— 3 7.2_33 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZoD AMPS 2.-S10 VOLTS l PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
LResidential(Main) Service
00-100 amps CI 101-150amps ❑151-200amps 0 amps #of Meters
0 Commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 0 101-150amps 0 151-200amps 0 amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 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
❑Swimming Pool 0 Sign ❑Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ ZOO • oz)
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can 0 Safety Inspection ❑Panel Change 00H to UG
her: c e-cc.A. e— -s..1 \a. s .-qac- 1' `n k'S - *t%„,_ \cti , .
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 I INDne acS PAC—\C MP M y Phone Number
�Q '5 e1 l—O(01S Fax
Electrical Company (Z�vJ C cS� c�C• �L� Office Phone
Co. Address: 9.025 l-4Al( Q A . City 0 Q- Stater.Zip 2)1.613
License Holder(Print): -6c)\"•1 � S to Certification/Registration# . .-4--56.3
Notarized Signature of License Holder 011ik*im. Cl
K Swo a subscribed before me this 17 day of N �-�-Am
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0 teary Public-state of Florida Signature of Notar P- . • �4 /o.V.......„
a. ••` Commission I FF 920346 y
--„,-.1-,,A My Comm.Expires Jan 15,2020
”^F°;,: Bonded through Wad Notary Assn•