2233 Seminole Rd #3 elec permit CITY OF ATLANTIC BEACH
r� 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2129
Job Type: ELECTRIC ONLY
Description: UNIT#3 add 6 outlets/fixtures
Estimated Value:
Issue Date: 9/22/2016
Expiration Date: 3/21/2017
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 003
RE Number: 169519-0106
PROPERTY OWNER:
Name: GEBHARDT, KURT
Address: 2233 SEMINOLE RD APT 3
GENERAL CONTRACTOR INFORMATION:
Name: B & C ELECTRICAL INC
Bruce Christopher Bradley,ER13012515
Address: 12447 PATRICK CT QA BRUCE CHRISTOPHER
BRADLEY
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
Switch Outlets $2.40
Total Payments: $65.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
3 CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 -�
Ph(904)247-5826 Fax(904)2_47--5845 0/111'
JOB ADDRESS: `
Sl--,1,7 ! /�C/, PERMIT# 1
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUEOFWORKS Toy-0'0
NEW SERVICE ❑ Overhead ❑ Underground ❑i Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps - amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ! amps -ICT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps D101-150amps 11151-200amps -1 amps of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps Damps CICT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 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: & N0 Gors lr /✓
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 WORKS
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
[]Other:
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 60/ `/o/- Phone Number
Electrical Company X•d !� �//�P�« l .LNC Office Phonecl0`(-�S�F1'-[S Fax
24�
Co.Address: l / 7 f�c 77K rE LT City JaLEta./G Statefc Zip
License Holder(Print): UHolder(Print): U r�S Certification/R lion# fL-W1100[zfLSCertifioation/R tion# L-W(10[$/30 Izirl s
Notari
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