237 Pine St electrical emergency repair permit 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
JOB INFORMATION:
Job ID: 16-ELEC-2276
Job Type: ELECTRIC ONLY
Description: ELECTRIC - EMERGENCY REPAIR
Estimated Value: $475.00
Issue Date: 10/11/2016
Expiration Date: 4/9/2017
PROPERTY ADDRESS:
Address: 237 PINE ST
RE Number: 170562-0000
PROPERTY OWNER:
Name: SPOFFORD,
Address: 237 PINE ST
GENERAL CONTRACTOR INFORMATION:
Name: ALL SERVICE ELEC GROUP
EC0003076
Address: 1556 WHITLOCK AVE JOSEPH SULLIVAN/RICHARD
SPEAKE
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
^-� n Ph(904 247-5826 Fax(904)247-5845
JOB ADDRESS: o / /r n¢ 5 PERMIT#
a— �a Z 3 F' 3.1-.133
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS _VOLTS PHASE
rryyea
VALUE OF WORK$
NEW SERVICE E9 Overhead ❑ Underground [3 Underground up Pole
i-Residential(Main)Service
00-100 amps 0101-150amps 1.;151-200amps C Gf0 amps 4o Meters_I
CCommercial(Main)Service
I10-100 amps 0101-150amps £1151-200amps amps -CT Service amps
Conductor Type Sim
;'Multi-Family(Main)Service
i.0-100 amps 0101-150amps 0151-200amps amps #of Unit Meters
-Temporary Pole D amps
SERVICE UPGRADE ^_amps CCT Service steps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 snips a 150amps C200amps L amps GCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUIL 16OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-I00amps 101-200amps
Appliances: 0-30amps 31-100amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits (a} kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool LSign LiSmoke Detectors_Qty � Transformers KVA CMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) /
Qty volts/amps VALUE OF WORKS 7y.00
REPAIRS/MISCELLANEOUS
NReplace BundfDamagerrd Meter Can i:ISafely Inspection A.;Panel Change COH to UG pp
00ther. 422. [./ .�'..•e.St c�c. {ar v',ie �aS�e /in�/Kcirl l-� jj a.-n.v_.,�h. �>(anN
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six moraha I hereby certify that 1 have
read Nis application and know the same to be me and coned. 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 my other state or local law regulation commuction or the perfonnenee of
constmction. /
Property Owners Name // S�a.c a,. (,aJ t�l t a/,,..c Phone Number
Electrical Company R(1 Snr J/�w L���Fr t Office Phone ��'1�Of C Fax
Co.Address: 55'36, IJU foe ti ye- 3;t2 it City 5a , State FL Zip 3�1
License Holder(Print): - 11f, State Certiflcation/Registmtien# ,EL/076
Notarized Signature of License Holder
CATIMEEBECKWORBi Sworn d subscribed before me this I I day of 0c* L-- 20 Ito
a � " �14910nari sr"a'g99 Signature of Notary Public cmtru.e. £. 8��