1600 Selva Marina Drive 16-ELEC-1947 (Electric) *j
.
oil CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECrION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1947
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 400 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $17,500.00
Issue Date: 8/26/2016
Expiration Date: 2122/2017
PROPERTY ADDRESS:
Address: 1600 SELVA MARINA DR
RE Number: 169399-0000
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS, LLC
Address: 414 OLD HARD RD SUITE 502
GENERAL CONTRACrOR INFORMATION:
Name: AMERICAN ELECTRICAL CONTRACTOR
, EC13007311
Address: 5065 ST AUGUSTINE RD APT 13 QAEARLW. FRICK
Phone-
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
New Commercial Electrical $110.00
Total Payments: $169.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
From:9047371099 08/25/2016 14:OS 0394 P.002/002
ELECTRicALPFRMITAPPLIcATION'16� �L"M If- t"&aj-95-q
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach FL 32233
Ph(904)247-5826 Fax(904)��4-5845 j1',V-F-LP-C- - 1947
JOB ADDRESS: /W)D �j fY)iw. nn . 0Q PERMFF# —
JEA INFORMATION REQUIRED ON ALL PERMITS VOLTS __J__PHASE
VAL LE OF WORK$La2a�
NEW SERVICE F-1 Overhead CK Underground DUnderground UP POIC
' Residential(Main)Service '-I 15 1-200amps
[,-0-100amps 1-:101-150amps amps 4 of Meters
E.Conagnerciall(Main)Semite
:10-100amps 7101-150amps D 151-200mps Njj�o, amps i CT Setvice_amps
Conductor Type Sim
DMuld-Fandly(Main)Service
Eo-looampys 0101-150ampts I 51-200amps amps #of Unit Meters
uTegaporstry Pole -'_amps
SERVICE UPGRADE amps -1 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100arnits -150amps F,1200amps i_amps �-.CTSmice_anyps
ADDITIONS,REMODELS,REPAIRS,RUELD.OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 4J_10-30amps _31-100amps —101-200amps
Appliances: —0-30amps 31-100amps —101-200amps
AIC Circuits: —0-60amps 61-100amps
Heat Circuits: #circuits @ kw
Number of Lightini—Outlets, Including Fi�xtur= 5'�
OTHER ELECTRICAL PROJECTS
Swimmingpool �isign -Smoke Detectors_Qty Transformers—KVA uMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/amps,— VALUEOFWOAK$
REPAIRS/MISCELLANEOUS
.Replace Burnit/Darnaged Meter Can 'i Safety Inspection ,--Panel Change -L30H to UG
.!Other:
Penrit thessome,wid if. does not onsornence within a six month period or:f-k is 5uspanded or abandoned for six asonths. I hereby cenify that I have
read this application and know the am to be me and convet All provisions Is. and ordinances go,,erning this work will be cotnplied with whether
specifiederect. The pertain docs not give authority to violate the provisions ofarry other state or local law regulation cornstruction or the perforntares,of
cons"ction.
PropedyOwnersName Phone Number
Electrical Compaay"te0V-\@"CSA ntlf\Af�'iftr- OfficePhonseqLA�- ) I Fax 91L 2710—C j%3
i
�C�Cml
Co. Address: Ci State R.Zip 3,)�K
ertification/Registratio _M1311
License Holder(Print): .Ear ::2c n#m,
H, Id
Irrized.Si.natmureo, LJcens.eH6 er- r
r3%. Mesa,Path:S"a Flows nrdsiubscribed fx�me this c)T' day o 201�e
Posts M Daly Sworn a
k.Mi tany
My�.,, . ,an
My Constaw0aa EE ON790 'fill "'A
Signature of Notary Pu lic � k�
CITY Of ATLANTIC BEACH
mo SEWLE RD
ATLANTIC BEkC,P.32233
08/B/2016 09:20:56
CREDIT CARD
VISA SALE
C Card# wm=6308
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SALE AMOUNT $1aw
COOMER COPY
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I'll 11 ATLANTIC REACH
600 SEMINGLE ROAD
ATLANTIC REACH, FL 32233
PHONE (904) 247-5 M
Cashier Id, atibcld\atlbbia
R11iVt lb-il: 6126tn'G 9:21:48 RA
Receipt Number: OS-70643
ibb ID' IG_ELEC-ISq7 - ELECTRIC -W SERVI
CE qyo WS 240 VOLTS, SINGLE PHASE EO8PR
- State Ele� DGpR Surcharge $2-00
J,b IDt 16-ELIC-1947 - ELECTRIC - NEW SERVI
CE 4W WS' 240 VOLTS, SINGLE PHASE EDC6
- State Elm OCR Surcharge $2.00
Job In. 16-ELE-1947 - ELECTRIC - " SERV1
CE 466 Am 240 VOLTS. SINGLE PHASE TP
Trade Permit7liase fee $5'00
jeb In. 16-ELEC-1947 - ELECTRIC - NEW SERV'
CE 466 GfflS t 249 VOLTS, SINGLE PHASE EL4
New Cmercial Electrical $110-00
Aw,,t Due: $jb5.OD
lerder Irimmatim: Cash $169-00
T,,der Type: CC
Tmder Am-urt: $169-00
Charge Duet MOO