392 11TH ST - ELECTRIC 41 A, CITY OF ATLANTIC BEACH
r. As f 800 SEMINOLE ROAD
s) 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-1999
Job Type: ELECTRIC ONLY
Description: new feeder (100 amps), install pool panel, summer kitchen,
gate, & hot tub
Estimated Value: $1,200.00
Issue Date: 9/6/2016
Expiration Date: 3/5/2017
PROPERTY ADDRESS:
Address: 392 11TH ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: LIN'S ELECTRIC INC
, ER13013280
Address: 3840 MAGILL RD QA VIRGIL LINDSEY RHODEN JR
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including $3.60
Fixtures
Trade Permit Base Fee $55.00
AC Circuits $10.00
Total Payments: $72.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph (9247-5826 Fax (904) 247-5845 16—.L-6L 1ci oiai
JOB ADDRESS: 1/ --.4-1-1,571- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 9") AMPS 2110 VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground I 1 Underground up Pole
❑Residential (Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE J amps ❑ CT Service amps
NEW F�>�,HER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ❑150amps 0200amps Li amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: (p 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 El Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ /Zav
REPAIRS/MISCELLANEOUS ``
❑Replace Burnt/Damaged Meter Can 0 Safety Inspection ❑Panel Change ❑OH to UG
J Other: 5. 4,.l( Pot 1 -P,v-..CI1 / 5i..m,...�,, <11-CL--.• / 0 a 4- 1-10
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 �S4;of!1 6V- I a1.b I e C O CYl Phone Number
Electrical Company b`„ s E( --. c1 . Office Phone i Fax
Co. Address:, c l?") . . ; (/ l •. City \A NA' State 9/ Zip JZZzo
License Holder (Print): - - _ OK- tate ertification/Registration# 'C .?00-74.09,
r
c. / /1 /
Notarized , , _�:: ��...._.�- der ,
,y,,, TONI GI DI.ESPE• °' I T
sc ;; MY coMMISSICN#FF 924951 .
EXPIRES:October 6,2019 1 efore me this 69 day ..' trj_,1 20
gonded 7hru Notary Pebfic underwriters
f ignature of Notary Publi I ♦.