292 16th St Elec Permit rf1 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-2020
Job Type: ELECTRIC ONLY
Description: new underground service & 8 outletstfixtures
Estimated Value:
Issue Date: 9/8/2016
Expiration Date: 3f1/2017
PROPERTY ADDRESS:
Address: 292 16TH ST
RE Number: 170385-0000
PROPERTY OWNER:
Name: HANDLEY, CHARLES & DIANE,
Address: 292 16TH ST
GENERAL CONTRACTOR INFORMATION:
Name: ALL AMERICAN ELECTRICAL OF NORTH FLORIDA INC.
,ER13015016
Address: 4541 St Augustine RD STE 4
Phone: 904-962-0691
FEES:
Electrical Primary Service $50.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including $4.80
Fixtures
Trade Permit Base Fee $55.00
Total Payments: $113.80
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 b—�L—tib
JOB ADDRESS: 2�2 I LY-' 4'S4—, PERMIT#
JEA INFORMATION REQUHiED ON ALL PERMITSAMP VOLTS �_PHASE
V UE OF WORK f�_
NEW SERVICE ❑ Overhead Underground QI Underground up Pole
_
Residential(Main)Service
0-100 amps .'.101-150amps IW51-200amps -- amps #of Meters
'.Commercial(Main)Service
0-100 amps 101-150amps DISI-200amps _amps "CT Service amps
Conductor Type Sire —
iJMulti-Family(Main)Service
E0-100amps 101-150amps 2151-200amps amps #of Unit Meters
^_TemporaryPole _amps
SERVICE UPGRADE Camps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100 amps :.;150amps 11200s mps i_i arttps IJCT Service_amps
ADDITIONS,REMODELS`REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: J 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
[jSwimming Pool ] Sign Smoke Detectors—Qty -:Transformers KVA ❑Motms_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
7Replace Bumt/Datnaged Meter Can FSafety Inspection ❑Panel Change ❑OH to UG
'Xiter: �tIlN1`i`Q Q A; I0 ±:) 1 Lzt ,oca-+N�'q
Femur Nmoves void if work ones net entrumen within esu 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 andmances governing this work will be complied with whether
specified or not The permit does not give authority to violate the provisions of my other sMte or local lew regulation construction or the perfotmmroe of
construction. \1 ;s the en 1
Property Owners Name N U _Phone NuunberoiU-�}'"tU�' L'�q, I
Electrical Co'mrp'an C4E -Ioao
t7'tcePhoru � �3 Fax
Co.Address' I I
License Holder(Print): late Certification/Registration# 111
Notarized Signature a Lic der
!RICAN HUFFMAN " ^
'R` My COMMj9610N#FFN2Ha worn and subscribed befo a this �' day of 2p1SY
ExFIREa gpol 17,2020 mature of Notary Publi�����
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ATLANTIC BEACH
;I PERMIT RECEIPT
September 8, 2016
PERMIT DESCRIPTION: new underground service &8 outlets/fixtures
PERMIT NUMBER: 16-ELEC-2020
ADDRESS: 292 16TH ST
OWNER:
Electrical Primary Service $50.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets,Including Fixtures $4.80
Trade Permit Base Fee $55.00
QTY OF AT"IC BEACH
NO SEMINOLE RD
Totals: ATLANTIC BEAC,R 32233
$113.80 09!0672016 15:30:01
CREDIT CARD
VISA SALE
CARD n XXV10%%R 4186
BNOICE 0011
SEQ a 0009
P\0
W#: 000396
Q 0�6 ApprovA Code: 067066
��1• �pG�' btyMe6nd: Mata)
SICQ N,��G9 Mode: On0e
Tar kraft: $0.00
Cad Code: M
Uj� V
SAIF AMOUNT $113, 1
CUSTOMER COPY