325 Country Club Ln new elec permit CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-f INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OBINFORMATION:
Job ID: 16-ELEC-2382
Job Type: ELECTRIC ONLY
Description: new electrical service - 300 amps/240 volts/ single phase
Estimated Value: $3,000.00
Issue Date: 10/24/2016
Expiration Date: 4/22/2017
PROPERTY ADDRESS:
Address: 325 COUNTRY CLUB LN
RE Number. 171962-0000
PROPERTY OWNER:
Name: GROVER JR, WILLIAM HOWE
Address: 325 COUNTRY CLUB LN
GENERAL CONTRACTOR INFORMATION:
Name: MUNSON & BRYAN ELECTRICAL CO.
,EC0001795
Address: 3434 ST AUGUSTINE RD QA JOHN MICHAEL
SCIOLINO
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $90.00
Trade Permit Base Fee $55.00
Total Payments: $149.00
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
.{Phh(904)247-5826 Fax (904)247-5845
JOB ADDRESS: 3 7—s ��`r^'7% C/fid le.,a PERMTT#
JEA INFORMATION REQUIRED ON ALL PERMITS dO AMPS ZYo VOLTS / PHASE
VALUE OF WORKSODQ.°�
NEW SERVICE 4, Overhead ❑ Underground �I Underground up Pole
flkesidential(Main) Service
[10-100 amps [1101-150amps ❑151-200amps X -JV amps #of Meters_
I (Commercial(Main)Service
110-100 amps F1101-150amps 0151-200amps ❑ amps El CT Service_amps
Conductor Type Size
I ]Multi-Family(Main)Service
I10-100 amps L1101-150amps 11151-200amps 0-amps #of Unit Meters_
temporary Pok amps
SERVICE UPGRADE fJ amps u CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
I1100amps I1150amps f1200amps fl amps ICTService_amps
ADDITIONS,REMODELS,REPAIRS,BUH.D-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-I00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits (a3 kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
HSwimming Pool USign HSmoke Detectors_Qty LITransformers KVA IJMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK 8
REPAH2S/11IISCELLANEOUS
I ]Replace Burid/Damaged Meter Can JSafety Inspection ❑Panel Change LIOH to UG
I 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 I have
read this application and know the same to be We 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
cunnmction. �� �, 6 y/-G;75-1
`-a Phone Number
PropertyOwnersName pp
Electrical Company YtlUh5o4 a o/ J"jk f �fCr�%� Office Phone /tty3y1(-�6KFax �j 96�f36
Co.Address: 3-1 �7 .�� �/r�i�SirlG YUA CiTy = o+fiState /r lip
License Holder(Print): 54M 5l�dti r, S to Cettificafion/Registration# FG-veo/79S�
Notarized Signature of License Holder -
JOSEpH GUY CAUCHON Sworn an subscribed before a this a.0 day of 0 " 20EG
Como #FF 244625
Esplms July16.2o19 Signature of Notary Public
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