185 Ocean Gate Dr - ELECTRIC NEW SERVICE 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 INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-184
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 150 AMPS
Estimated Value:
Issue Date: 1/25/2016
Expiration Date: 7/26/2016
PROPERTY ADDRESS:
Address: 185 OCEAN GATE DR
RE Number: None
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $60.00
Trade Permit Base Fee $55.00
Total Payments: $119.00 �� L
O 4�,
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: 185 o ceo n 6a+p or. PERMIT# I b-@.ZL- 18j
JEA INFORMATION REQUIRED ON ALL PERMITS I.Ci 0 AMPS a 4 o VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead aderground ❑1 Underground up Pole
[]Residential(Main)Service
❑0-100 amps 14-�150amps ❑151-200amps C amps #of Meters
❑Commercial(Main) Service
110-100 amps ❑101-150amps ❑151-200amps L amps DCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps I_ amps #of Unit Meters
[]Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ❑150amps ❑200amps F 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 S
REPAIRSAHSCELLANEOUS
[]Replace Bumt/Damaged Meter Can ❑Safety Inspection []Panel Change []OH to UG
0111fer. nF4 nn ca rant& ron ulfiq,nq I LAIi 156 RMP Mr\ on e.ack urr'—
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 we 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
consimamn.
Property Owners Name dblL+,"1L+4 Phone Number
Electrical Company L t.&Q+k J C-w4 �_G. t jo"'Office Phone Fax
v
Co.Address: ^ City State_Zip
D
License Holder(Print): y State C on/Registration#
Notarized Signature of License Holder
s�'
Uffire me s day of 20
Signature of Notary Public