2279 Seminole Rd #7 elec permit S y1y r�
CITY OF ATLANTIC BEACH
-� 800 SEMINOLE ROAD
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--- -- �r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
lob 10: 16-ELEC-2450
lob Type: ELECTRIC ONLY
Description: 200 amps, 240 volts, 1 phase. - Bathroom Remodel
Estimated Value: $450.00
Issue Date: 11/2/2016
Expiration Date: 5/1/2017
PROPERTY ADDRESS:
Address: 2279 SEMINOLE RD UNIT 007
RE Number: 168345-0100
PROPERTY OWNER:
Name: Sfakiotakis, Kostas V
Address: 2279 Seminole RD
GENERAL CONTRACTOR INFORMATION:
Name: ALL SERVICE ELEC GROUP
E00001076
Address: 1556 WHITLOCK AVE JOSEPH SULLIVAN/RICHARD
SPEAKE
Phone: 904-744-5050
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $2.40
Trade Permit Base Fee $55.00
Total Payments: $61.40
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
t�
Ph(904)247-582 7/
Fax(9004)247-5845
JOB ADD : �7 / - SP�r-riHu�L' KUl -41- / PERMIT#
/I TIKH lG -j 5i '
JEA INFORMATION REQUIRED ON ALL PERMITS 1-00 AMPS 2 J VOLTS PHASE
VALUE OF WOR%Jq�r 06
NEW SERVICE 1:1 Overhead ❑ Underground [3 Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-ISOMPS 0151-200amps D amps ofmaters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps Damps OCTService_amps
Conductor Type Siu
❑Multi-Family(Main)Service ti
00-100 amps 0101-ISOamps 0151-200amps D amps 0 o Unit Meters
❑Temporary Pole 0amps
SERVICE UPGRADE Damps D CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps Damps DCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _q0-30amps 31.100amps 101-200¢¢mps
Appliances: 0-30amps 31-100amps _101-200hmps
A/C Circuits: 0.60areps 61-I00amps
Heat Circuits: # circuits Qkw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign O Smoke Detectors_Qty OTmnsformers KVA DMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qtyvolts/emps ' VALUE OF WORE
REPAIRS/MISCELLANEOUS
DReplace Bumt/DammaageldI 'M' eter Can ❑SSJafety Iasp�efction ❑Panel Change OOHto UG
❑Other. ✓J//4Y'Y2.si00s•r'v- LSARN3S @ s5�c .eolvt
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 contact. All provisions of laws and ordinances governing this work will be complied with whether
specified or not "a permit does not give authority to violate the provisions of any other"a or IoW law regulation constmetion or the performance of
answclion. I I/ // J
Property Owners Nam %e 5 IUTa M1I byt'e-n /� )ed -spb phone Number
Electrical CompanyLt,G J I e'1✓�✓1 r 7 • Office Phone 7// -S j74 Fiaax
L
Co.Address: /5 S I k i{!o(,� ✓e. City —)" state r zip
License Holder(Print): State Certification/Registration#
Notarized Signature of License Holder c; f'✓1
Sworn subscribed before me this" D day of 20 l�
lr�" CATHEEME E6ECKWORTH
�alf/ MYCONAHS10NNNIXIM99 Signature of Notary Public CmU--" E- ..:..�1
Cx91REa:0a IS.2019
ATLANTIC BEACH
n1
PERMIT RECEIPT
November 2,2016
PERMIT DESCRIPTION: 200 amps,240 volts,l phase.-Bathroom Remodel
PERMIT NUMBER: 16-ELEC-2450
ADDRESS:2279 SEMINOLE RD UNIT 007
OWNER: KostasSfakiotakis
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00 CITY OF ATLANTIC BEACH
Boo SEMINOIE RD
$2,� ATLANTIC BEAC,R 37233
Switch Outlets 1L0;.2016 1122.13
CREDIT CARD
Trade Permit Base Fee $55.00 VISA SALE
CARD# %XM%N%%XXXXXII 1
INVOICE 0003
SEQ A: 0002
Totals: $61.40 Bakh;i 000132
oral Code: 05278G
Vdkhd'. Maual
Moda: ChW
Tax Amout. $0.00
Card Coda: M
oo 6 SALE AMOUNT $61,40
CUSTOMER COW
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