315 Plaza elec permit i Yj IyL/1fJ�
n, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J S 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-2278
Job Type: ELECTRIC ONLY
Description: ELECTRIC - KITCHEN REMODEL
Estimated Value: $5,000.00
Issue Date: 10/11/2016
Expiration Date: 4/g/2017
PROPERTY ADDRESS:
Address: 315 Plaza
RE Number: 169992-0000
PROPERTY OWNER:
Name: MULLANEY ET AL,SCOTT & ELIZABE,
Address: 315 PLAZA
GENERAL CONTRACTOR INFORMATION:
Name: PHASE ONE ELECTRIC LLC
Oliver Van De Kamp,EC130OS339
Address: 2076 CORONA CT OLIVER VAN DE KAMP
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $4.80
Trade Permit Base Fee $55.00
Total Payments: $63.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDWANCFS AND THE FLORMA
RUILDWG CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 ! + 2278
1
11,11,211-1126 Fax (904)247-5845 to
JOB ADDRESS: S P Ll 7a PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ASO—AMPS VOLTS PHASE
VALUE OF WORK$ S.CMnA
NEW SERVICE ❑ Overhead ❑ Underground 0 Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
DO-1 00 amps 0101-150amps ❑151-200amps ❑ amps ❑CTService amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 amps L1101-150amps ❑151-200amps []______amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E1100amps ❑150amps 0200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: __il __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 OMotorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAHtS/MISCELLANEOUS
❑Replace Bumt/Da`maged Meter Can [I Safety Inspection ❑Panel Change ❑OHto UG
Other. Vi_}S,ry tev Crde1
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 m violate the provisions of any other state or local law regulation construction or the perfomeance of
conmucuon. p-�1' 1\ —I r�
Property Owners Na�m'`e� 1 Phone Number 1 1 Y us ig-Q 1 .1�
Electrical Comrppany vl hsps h, 9CC\-C;& ` Office Phone -��nfSZ�F-'ax
Co.Address: d� 14, �r-,rc..r,�,��n- City _)ax State L zip3
License Holder(Print): \)�yyrr _y State Certification/Registration# -11DQ51-
Notarized Signature o License lder
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b MY CGMMISSICNYFF 924951 efore methis dayo 20
FXRIRES.OdMer B,2019
so�.ery wiary s�uconaen»mr Signature of Notary Public