1827 Tierra Verde Dr elec permit CITY OF ATLANTIC BEACH
a 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
708 INFORMATION:
Job ID: 16-ELEC-2656
lob Type: ELECTRIC ONLY
Description: RAN FEED FOR MICROWAVE
Estimated Value: $600.00
Issue Date: 11/28/2016
Expiration Date: 5/27/2017
PROPERTY ADDRESS:
Address: 1827 TIERRA VERDE DR
RE Number: 169542-5088
PROPERTY OWNER:
Name: STAMPS, JAMES H
Address: 1304 MARSH COVE CT
GENERAL CONTRACTOR INFORMATION:
Name: JAX ELECTRICAL CONTRACTING INC
Paul Carter Keane, EC13006936
Address: 1839 LANE AVE SUITE 110 PAUL KEANE
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Switch Outlets $0.60
Total Payments: $59.60
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 (
Ph(904)247-5826 Fax(904)247-5845 _ Ctr_7C—Z6S
JOB ADDRESS: 1$27 Terr Vertle PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Z0C AMPS Z'tO VOLTS PHASE
YALUR OF WORKS 60D• `v j
NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole
❑Residential(Main)Service
00-100 amps 03101-150amps 0151-200amps [J amps #of Meters_
DCommercial(Main)Service
00-100 amps U 101-150amps D 151-200amps G'___amps UCT Service_amps
Conductor Type Sim
DMulti-Family(Main)Service
Do-100 amps 0101-150amps U 151-200amps U aps #of Unit Meters
m
UTemporary Pole Damps
SERVICE UPGRADE Damps U CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150mnps 0200amps Damps OCTService amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,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 (a)-------kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwimming Pool ❑ Sign ❑Smoke Detectors_Qty DTransformers KVA iJMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUEOF WORK S
REPAIRS/MISCELLANEOUS
DReplace Bund/Damaged Meter Can U Safety Inspection [.Pane[Change DOH to UG
001her: r- ^ {lie tl vvt cr �s„e T ^ ible Sk oaI'n S
Pani becomes void if work dues not commence within a sin month period or work is suspended orabmdoned for six months. I hereby cenily Nm 1 have
rad this application end know the samc to betme end coned. All pmvisioas of laws and ordinmces goveming Nis 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
conswttion. �1 ` ` - � II / (�
Property Owners Name �CL�..JcnksonOtlI '� L�` Phone Number 65'/ /eoI
Electrical Company Ta-x Ele ') c ( A Office Phone's g3939"y Fax
Co.Address: 701-7 LA—e A} ,? City :lu c ldi o,..+ll y StateF l Zip 3 2 Z t G
License Holder(Print): a'k Vi a— a
? State Certification/Registration#EC 130 9 69 3 6
Notarized Signatureo Lic r
TONI GMoIFSPEaaEa -� Q 2B
1, MY cwauissia+e FF s2asstB re methis day of
:jj E%PIN""tobera.2019
",ifr6' ea,marm wanrusraum.r�a attire of Notary Public