336 10th St electrical permit 3 �j I�ATl1jr�
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-2249
Job Type: ELECTRIC ONLY
Description: new underground residential service - 400 amps, 240 volts,
single phase
Estimated value: $21,841.00
Issue Date: 10/4/2016
Expiration Date: 4/2/2017
PROPERTY ADDRESS:
Address: 336 10TH ST
RE Number: 170037-0000
PROPERTY OWNER:
Name: BULL, KATHLEEN & NIELS,
Address: 336 10TH ST
GENERAL CONTRACTOR INFORMATION:
Name: UNITED ELECTRIC COMPANY OF
, EC0000344
Address: 5716 ST AUGUSTINE RD QA JOHN E GRIFFIN JR
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $110.00
Trade Permit Base Fee $55.00
Total Payments: $169.00
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 . Ib-ELEC- aay�
Ph(904)247-5826 Fax (904)247-5845. 6t 1j
JOB ADDRESS: 33G !0 r1, st - - PERMIT# 14-5,a-7-3o
JEA INFORMATION REQUIRED ON ALL PERMITS . l0 0 AMPS a40 VOLTS I—PEASE
.VALUE OF WORK 11r $NI
NEW SERVICE ❑ Overhead ❑ Underground [,Z Underground up Pole
`Residential(Main)Service
00400 amps 0101-150amps 0151-200amps 9100 'amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100amps. -- 0101-150amps 0151-200amps ❑ amps 4o Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE 0 amps 0 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150ampli 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps ' 31-100amps 101-200amps,
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: d circuits Q kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS -
OSwimmingPool ❑ Sign ❑Stroke Detectors_Qty OTtansfonners KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty_volts/amps VALUE OF WOES$
REPAIRS/MISCELLANEOUS
OReplace Burrrt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
OOmer:
Permit becomes wid if work does not cenu6erice within a sin month period or work is suspended or abandoned for six months. I hereby certify that I bare
read this application and know the same to be toe and corm. Ail provisions of laws and ordinances goveming this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other note or local law regulation oonsaucdon or the performance of
conmo.don. pp ('na Jr
Property Owners Name K a I t Phone Number 113 - I l 2 d
Electrical Company un i'1'/) ole'lo' (y of Sex Office Phone a3 l- y L IO Fax` A3 3 11
Co.Address: 57/4 Sf v v,4;. 2) City Sok StateFL Zip 2101
I Ec
Lie..Holder(Print): A �i 0A 4 State Certification/Registration#N&0_ 31i7
Notarized Signature of License Holder
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Sworn and subscribed before me thiT t/ day of 0 1r 201�
` ' Signature of Notary Public /fig /o►