720 Paradise Ln elec permit ?i�l�r7c�
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2335
Job Type: ELECTRIC ONLY
Description: new underground service - 200 amps/ 240 volts/ single-
phase
Estimated value: $1,200.00
Issue Date: 10/16/2016
Expiration Date: 4/16/2017
PROPERTY ADDRESS:
Address: 720 PARADISE LN
RE Number: 172376-0235
PROPERTY OWNER:
Name: SPRINGFIELD BUILDERS LLC
Address:
GENERAL CONTRACTOR INFORMATION:
Name: MARCO ELECTRICAL CONTRACTORS
Benjamin Edward Smith,EC13002215
Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH
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 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 �b-E(,E(,
Ph(904 247-5826 Fax (904)247-5845 (r - �fL 1`7 '-1'')
JOB ADDRESS: ? x r(a` I��7 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS ZZ�VOLTS f PHASE
VALUE OF WORKS 1,a0e) - "
NEW SERVICE ❑ Overhead Underground ❑1 Underground up Pole
Residential (Main)Service
0-100amps 101-150amps 151-200amps QAO—amps 4 o Meters
'Commercial(Main)Service
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT 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: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
'Swimming Pool Sign Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
Replace Burt/Damaged Meter Can Safety Inspection Panel Change OH 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 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 no,regulation construction or the performance of
construction. 0
Property Owners Nam lor P
Phone Number
Electrical Company My 0 ' \ Office Phone '1'''-335� Fax Q''13•LI`�
Co. Address: n `c�-`J (`f1�1 C `r-'Z`�..j >�{ City '—Gok�nyi I LP State—(7-) zip 3a-3 1
License Holder(Print): a. - ` I State Certif ion/Registration# il 13 D paa 15
Notarized Signature of License Holder - L
=jVB0N=NELLW.CRAIG Swom a d subscribed before e this day of r 20iG/n�^^roee u,mm Signature of Notary Public a n n O1CJ