1570 W Park Terr Elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j 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-2011
Job Type: ELECTRIC ONLY
Description: COMPLETE REWIRE
Estimated Value:
Issue Date: 9/7/2016
Expiration Date: 3/6/2017
PROPERTY ADDRESS:
Address: 1570 W PARK TER
RE Number: 171942-0000
PROPERTY OWNER:
Name: BROWN, MAUREEN A
Address: 1570 W PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: HARP ELECTRICAL CONTRACTORS LLC
, ER 13013787
Address: 4105 Whitebark Plantation DR
Phone: 904-738-6135
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 1 CO —E(,jr—C _z p k
JOB ADDRESS: 16'70 'PnPK ICt a1- PERMIT# 14-MoD-9(o
JEA INFORMATION REQUIRED ON ALL PERMITS zoe AMPS Z Vy VOLTS L PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground 9 Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps ❑CTService amps
Conductor Type Sim
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps of Unit Meters
[]Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDMONS,ACCESSORY STRUCTURES,ETC.)
❑I00 amps ❑150amps 11200amps El------amps ❑CT 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 ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAHISIMISCELLANEOUS
❑Replace VBurnt/D//amaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
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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 90.55 l40"Ict Y/� Phone Number lO`!f 860- ` l y
Electrical Company I'Z7 ��el�i;[Y� ao" dS t rOffice
Phone
/738'-6/>S-Fax
Co.Address: ql,* 444416* Y.,A n N; City State,_Zip 1;LC&{
License Holder(Print): — (' cation/Registration#EF-�3ois�i�7
Notari a er
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j:• ur consnissio+e FF Biasst foremethis_ da o 2
y,,�, EXPIPES'.October 6.2018
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•^' gnature of Notary Public