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576 Coastal Oak Ln new elec service / 'rS IyLJ!jJo CITY OF ATLANTIC BEACH -� 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 IOB INFORMATION: Job ID: 16-ELEC-2230 Job Type: ELECTRIC ONLY Description: NEW ELECTRIC - 200 AMPS, 240 VOLTS, SINGLE PHASE Estimated Value: $15,000.00 Issue Date: 10/3/2016 Expiration Date: 4/1/2017 PROPERTY ADDRESS: Address: 576 COASTAL OAK LN RE Number: None GENE RAL CONTRACTOR INFORMATION: Name: INTEGRITY FIRST ELECTRIC CO Walter Eugene Haynes, EC13003883 Address: 116 SEAGRAPE DR WALTER HAYNES Phone: - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 New Single Family Electrical $70.00 Trade Permit Base Fee $55.00 Total Payments: $129.00 PERMIT IS APPROVED ONLY W ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDMG CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 ��' "`Ph(904)247-5826 Fax(904)247-5845 6` -�-u� JOB ADDRESS: 57(0 �+c% &C kS �/E.,.�h,,.,, PERMIT# 16- J W 0 JEA INFORMATION REQUIRED ON ALL PERMITS 'Z 00 AMPS Zqt� VOLTS ( PHASE VALUE OF WORKS I S b- NEW SERVICE ❑ Overhead JK Underground ❑I Underground up Pole Xtesidential(Main)Service ❑0-100 amps 0101-150amps x(51-200amps ❑ amps of Meters_ ❑Commercial(Main) Service 110-100 amps [1101-150amps 0151-200amps ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main)Service - ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters amporary Pole O_ _amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDMONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps FI—MPS ❑CT Service amps ADDFITONS,REMODELS,REPAIRS,BUII.D-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 REPAIRS/MISCELLANEOUS ❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH 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 l have read this application and know the same to be one 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 slate or local law regulation construction or the performance of construction. �/11� f� � y \ Property Owners Name W(A%�L k OCLV,,S Wrl WW L*w Phone Number Electrical Company ��Y9T!11F.-.,54 Vecky,*L Cu• _Office Phone 241— '(PWSFare Co.Address: ©-D,,,, JJJJ 6 f�c 5. City TMA 9CL. State ' zip 33ztzt License Holder(Print): 4'k- NC State Certification/Registration# Fe-13004 IVOtariyed Signature [der 1" T0I"rasamaEPCEP efore me[his _dayED 2 ' � �' � nn neM1P959I0N YFF 924951 �'rl E%PIPES'.amber 6,2019 acm rywm a amw n ignat ue of Notary Public i ATLANTIC BEACH PERMIT RECEIPT October 3, 2016 0#— PERMIT DESCRIPTION: NEW ELECTRIC-200 AMPS, 240 VOLTS,SINGLE PHASE PERMIT NUMBER: 16-ELEC-2230 ADDRESS: 576 COASTAL OAK LN OWNER: State Elec DBPR Surcharge $2.00 State Elec DCASurcharge $2.00 New Single Family Electrical $70.00 Trade Permit Base Fee $55.00 Totals: $129.00 PAID OCT 03 2016 CITY OFATLANTIC BEACH