1953 Seminole Rd elec permit fa ATLANTIC BEACH
PERMIT RECEIPT
October 20, 2016
PERMIT DESCRIPTION: electrical repairs
PERMIT NUMBER: 16-ELEC-2371
ADDRESS: 1953 SEMINOLE RD
OWNER:
State Elec DBPR Surcharge
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Electrical Repairs $35.00
Totals:
$94.00
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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
]OB INFORMATION:
Job ID: 16-ELEC-2371
Job Type: ELECTRIC ONLY
Description: electrical repairs
Estimated Value:
Issue Date: 10/20/2016
Expiration Date: 4/18/2017
PROPERTY ADDRESS:
Address: 1953 SEMINOLE RD
RE Number: 169542-0514
PROPERTY OWNER:
Name: HERZIG TRUST, NAOMI DOROTHY
Address: 1953 SEMINOLE RD 1953 SEMINOLE RD
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
Trade Permit Base Fee $55.00
Electrical Repairs $35.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
G Ph(904)247--5826 Fax (9004)247-5845
JOB ADDRESS: / 1�5 - G d; -[-%Ke. K alPERMIT#
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JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS ;,qQVOLTS PHASE
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VALUEOFWORRS / IOD
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NEW SERVICE ❑ Overhead Q Underground �Underground up Pole
.:Residential(Main)Service �
0-100 amps "101-150amps � 1-200amps amps #of Meters_
t Commercial(Main)Service
L;0-100 amps C 101-150amps [ 151-200amps _ amps GCT Service_amps
Conductor Type Sim
I Multi-Family(Main)Service
-_0-100 amps C 101-150amps C.151-200amps amps #of Unit Meters
! iTemporary Pole amps
SERVICE UPGRADE -ems Z-00MPSCT Service amps
NEW FEEDER(ADDITIONS,ACCESSO$-Y STRUCTURES,ETC.)
100amps LA50amps r260amps _ amps _'CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
OutletsrSwitches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits (a3 kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool - Sign I;Smoke Detectors_Qty .Transformers KVA [Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUEOFWORHJ 4)00
PAIRS CELLANEOUS
eplace Bumt/Damaged Meter Can I.SafetyyInspeection F Panel Change '.'.OH to UG /
Other: Service- wtt2+ L , J _ lCC��i�lhs 441e �'i�01 01
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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 law regulation construction or the performance of
construction.
Property Owners Name ✓C I
rl.el-I I i S �G✓7 I G Phone Number Z Z z- SZZ�
Electrical Company �� 6 i G Office Phone 79' -S0 17aa
Co.Address: 17./ 7 L City— State 1 LZip 5
License Holder(Print): 0 ' L' 1ti ( /G� Stale Certification/Registmtion# �G &)76
Notarized Signature of License Holder . t
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