325 4th St elec permit Lyy
CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
706 INFORMATION:
Job ID: 16-ELEC-2663
Job Type: ELECTRIC ONLY
Description: OVERHEAD TO UNDERGROUND. 200 AMPS 240 VOLTS
1 PHASE.
Estimated Value:
Issue Date: 11/28/2016
Expiration Date: 5/27/2017
PROPERTY ADDRESS:
Address: 325 4TH ST
RE Number: 169833-0000
PROPERTY OWNER:
Name: Kline, Christopher John
Address: 325 4Th ST
GENERAL CONTRACTOR INFORMATION:
Name: FIRST CHOICE ELECTRIC INC
, EC0002015
Address: 716 N VALLEY FORGE RD CIA LAWRENCE DAVID
THOMAS
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $59.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WRIT 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
11,%A �7�Ph(904A)2447-55826 Fax(904)22447-5845 l L 3
JOB ADDRESS: 'X/'✓ , J7 A b Y 1/ i,Z(��a'7 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS z4b VOLTS (7) PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps U 151-200amps t amps #of Meters
❑Commercial(Main)Service
00-100 amps U101-150amps 0151-200amps []_amps []CP Service_amps
Conductor Type Sint
[]Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑_amps 4 o Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps U CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps []_amps []CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUHAOUTS,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 Detmtors_Qly ❑Transformers KVA UMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORN 8
Qty_voltstamps
REPAIRS/ IISCELLANEOUS
❑Replace BumNDamaged M11 eter Can USafet\\y Inspection ❑Panel Change OOH to UG
❑Other. 1.>✓aA
OVCV A6 ya 64
Permit becomes void ifwork does not commence within a six month period or work is suspended or abandoned for sin momhs. I hereby c<mfy that I h
ave
read this applicalion and know,the same to be true and earned. 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 my other state or local law reguiation coal ction or Ne performance of
construction.
Property Owners Name'�AA�� 0 !11� � PhoneNumber
Electrical Company 1 :A CkdL P_;jf jjrjC- Office Phone Fax
Co.Address: -71U SAI. 1 d( — City�+ _ late�Zip 1a2.e40
License Holder(Print): '-I _ / State Certification/Regismition#
0
Notarized Signature of License naraer
JENNIFER) NsmN Before me this aT day of JOWL .W 20--L
pt: WCOMMISSIONRGG orzau
c
EXPIRES.oMber 2r,m2o Signature of Notary Publi -
i,�. P: eam.s»w Nolan aaNmuaewwaas