229 Pine St electrical emergency repair permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
I ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
f~.
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
IOB INFoRMATION:
Job ID: 16-ELEC-2275
Job Type: ELECTRIC ONLY
Description: EMERGENCY REPAIR
Estimated Value: $450.00
Issue Date: 10/11/2016
Expiration Date: 4/9/2017
PROPERTY ADDRESS:
Address: 229 PINE ST
RE Number: 1170563-
PROPERTY OWNER:
Name: RUBIN, DENISE P
Address: 229 PINE ST
GENERAL CONTRACTOR INFORMATION:
Name: ALL SERVICE ELEC GROUP
,EC0001076
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 I� C�& rn _zZ 5
q Ph(9004)247-5826 Fax(904)247-5845 -EC 7
JOB ADDRESS: ZZ I �� J PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS / LAMPS //—VOLTS PHASE
,,.�,, Y4LU8 OF B'ORB S
NEW SERVICE D-6O ,rhead ❑ Underground EDUnderground up Pole
❑Residential(Maio)Serr��ctr
!JO-100amps 'f01-150amps 6151-200amps ❑_amps #of Meters_
GCommercial(Main)Service
❑0-100smps ;1101-150smps (1151-200amps ❑ amps i:CT Service
Conductor Type Sim
❑Matti-Family(Main)Service
'10-100amps X101-I50amps X151-200amps ❑_amps #of Unit Meters
❑Temporary Pok ❑_amps
SERVICE UPGRADE _amps =' CT Service—amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
C100amps u150amps (�200amps ='_amps CCTService_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-I OOamps _101-200amps
Appliances: 0-30amps 31-100amps _IO1-200amps
A/C Circuits: 0.60amps _61-100amps
Heat Circuits: # circuits Q_kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
LSwimming Pool :' Sign FISmoke Detectors_Qty ('Transformers KVA ❑Momrs_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK; 74751
Qty_voiWamps
REPAIR�CELLANEOUS
.-Replace Burnnt//Damaged Me/�p'Can ;::SafetyIInspection ^_Panel C Zy
Change I'OH to UG/
I'Other. /fie 114, Gf 1/NP_ �i/cfe SCr7i1GP Gkh/ 4Lrd( ht�lty (:PGt R-Qfi
Permit becomes void if work does not commence within a six month period or%NmK is suspended or abandoned for six months, i hereby certify that 1 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.
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PropertyOwnersName I/eh-15 � r2U/"�rs'l Phone Number � 3'-� �
Electrical Company ,471 5C✓✓!GQ /� ��Office Phone�Fex
Co.Address: r L City J 9 Z _State azip 5
License Holder(Print): e (�� /✓ h State Certification/Registration#
Notarized Signature of License Holder iL'--�
s cera gxa ser aPCKNOaig Sworn nd subscribed before me this_I I _dayof 6—ct oG-� 201(o
�aile�yc mscasIaeOPs"amr's' Si of Notary Public