435 ATLANTIC BLVD - ELECTRIC rs ''
\� CITY OF ATLANTIC BEACH
r.: , 1sJ 800 SEMINOLE ROAD
LI�r -' 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-2455
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW CIRCUIT & OUTLETS
Estimated Value: $1 ,000.00
Issue Date: 11/3/2016
Expiration Date: 5/2/2017
PROPERTY ADDRESS:
Address: 435 ATLANTIC BLVD
RE Number: 170694-0000
PROPERTY OWNER:
Name: FRANCHISE REALTY INTERSTATE
Address: PO BOX 49189 MCDONALD'S
GENERAL CONTRACTOR INFORMATION:
Name: RADIANT ELECTRIC, INC.
, EC13005427
Address: P 0 BOX 600830 QA GEORGE PHILIP JOHNSON
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND '1HE FLORIDA
BUILDING CODES.
FROM RADIANT ELECTRIC INC. <TVE)NOV 1 2018 16:29/ST. 15:28/N<,. 8308388825 P 1
ELECTRICAL PERMIT APPLICATION / y�
CITY OF ATLANTIC BEACH ��C S^ 1\\ t` ' ` ' t C,
800 Seminole Rd, Atlantic Beach, FL 32233 t- J
t _ Q,
Ph (904) 247-5826 Fax (904)247-5845 I L, - c - Z 4- -�
JOB ADDRESS: /`"3F3 i `* +` i c Elva. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 100 AMPS c01,46 VOLTS -3 PHASE
VALUE OF WORK$ AP a 0ti2o
NEW SERVICE ❑ Overhead E Underground ❑r Underground up Pole
[Residential(Main)Service
00-100 amps fl 101-150amps 0151-200amps 0 /11/4- amps #of Meters Al/A--
❑Commercial(Main) Service
00-100 amps ❑101-15 amps 0151-200amps /IA' amps [CT Service amps
Conductor Type Al I/4 Size iv/fr-
[Multi-Family(Main)Service /
00-100 amps ❑101-150amps 1151-200amps I 1 IVA amps #of Unit Meters A/4❑Temporary Pole I 1 amps
SERVICE UPGRADE U Alik amps -1 CT ServiceN/fr amps
NEW FEEDER ADDITIONS,ACCESSORY STRUCTVRES,ETC.)
[7 100 amps J 150amps 2200amps J Ayer amps ❑CT Service Alframps
ADDITIONS,REMODELS, REPAIRS,BUILD-S UTS,ACCESSORY STRUCT RES,ETC.
Outlets/Switches: /O 0-30amps IP 31-100amps 101-200amps
Appliances: 30-30amps a 31-100amps 101-200amps
A/C Circuits: 0-60amps `' 61-100amps
Heat Circuits: 4) # circuits @ 0 kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
:Swimming Pool J Sign ❑Smoke Detectors Qty [Transformers 44- KVA ❑Motors�!' hp
FIRE ALARM SYSTEM (Requires 3 is of plans)
Qty iv/}-volts/amps Nib- VALUE OF WORK$ #✓fes"
REPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can C Safety Inspection [Panel Change [OH to UG
7Other:,Jt2 C;/rem,.f ttt k%osjC f' /e.S i2eGefilAli /ti, /t, GVikdec_ gecelohiZ •
—
?ermit 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
-cad 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
:onstruction.
Property Owners Name �ac�u e u S k� Phone Number
Electrical Company "�0cilzr�� lec- C I Inc . Office Phone QL 3 2 Fax Q8 2625
7o. Address: 57(1)3 /A l Y in3 Te rra C City X State 1L Zip 2J7
_ EC-lion s-9"7s-9"7 7
License Holder (Print): +eo2ge P. T /Nc4t State Certification/Registration#
Votarized Signature of License//Holder "1. "C------
Sworn and subs '.ed before me this t day of NOV 201 ti)
AgirDANIELLE
••fi MY COMMISSION i FBF 124728 4tl1Q4,'
y:.��:p EXPIRES:May 20,2018 Signature of Notary Public
.'111,8t301v Bonded Tin Notary Public Underwrites
CITY OF ATLANTIC BEACH
S
EMINOLE ROAD
BOOIC BEACH, FL 32233 CITY OF ATLANTIC BEACH
PHONE (304) 247-5855 800 SEMINOLE RD
Cashier id: atibcid\atibbja ATLANTIC BEAC,FL 32233
Receipt Date: 11/3/2016 10:23 11!03;2016 10:21:22
Receipt Number: OS-71643 �d.vi CREDIT CARD
Job ID: i6-ELEC-2455 - ELECTRIC - NEW CIRCU MC SALE
IT & OUTLETS EBBW - State Eiec DBPR Surcha XXXXXXXXXXXX3413
rge $2.00 Card
SEQ g: 1
Job ID: i6-CLEC-2455 - ELECTRIC - NEW CIRCU 239
IT & OUTLETS EDCA - State Eiec DCA Surcharg INVOIC: 1
e 'u" INVOICE
Approval Code: 95607
Job ID: i6-ELEC-2455 - ELECTRIC - NEW CIRCO manualIT & OUTLETS ELIB - Electrical Repairs $3 ModEntry Method;
S.uO Online
Tax Amount:
Jo80.00
b ID: 16-CLEC-2455 - ELECTRIC - NEW CIRCU M
II_ & OUTLETS IP - Trade Permit Base Fee $ Card Code;
55.00
t Due: $74.0"0 SALE AMOUNT $94,00
Tender information: Cash $84.00
Tender Type; CC
Tender Amount: $34.00
Change Due: $0.00 CUSTOMER COPY