760 Sailfish Dr elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j � 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-2666
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 120/240 VOLTS,
SINGLE PHASE
Estimated Value: $6,500.00
Issue Date: 11/29/2016
Expiration Date: 5/28/2017
PROPERTY ADDRESS:
Address: 760 SAILFISH DR
RE Number: 171204-0000
PROPERTY OWNER:
Name: TCI TWO LLC
Address: 9191 Rg Skinner PKWY#501
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 $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY EV 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 I �_� Z�o�o�
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: �bo Stul r�iSl� �rltl� fH"l° '� / PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS a00 AMPS 10/24D VOLTS 5 t N,5(.e PHASE
VALUE OF WORK
,/G�-SDm
NEWS CE ❑ Overhead ❑ Underground �underground up Pole
[311esi ,
al(Main)Service �
❑0-100 amps 0101-150amps Ff51-200amps ❑ amps 4o Meters l
❑Commercial(Main)Service
❑0-100 amps 11101-150amps 11151-200amps []-MPS ❑CT Service_amps
Conductor Type Size
[]Multi-Family(Main)Service
F -100amps 0101-150amps D151-200amps ❑ amps #of Unit Meters
.temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps [I CT Service_maps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 11200amps ❑ amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
outlets/Switches: _0_0-30amps 31-100amps 101-200amps
Appliances: _,?,_0-30amps 31-100amps 101-200amps
A/C Circuits: _L0-60amps 61-100amps
Heat Circuits: l # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 1�
OTHER ELECTRICAL PROJECT
❑Swimming Pool ❑ Sign [!Kmoke t(eerors3Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) VALUE OF WORK S
Qty_volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
OOther: 0 tw KQuse,
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby rtify that I h
ave
read 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
construction.
Property Owners Name Tck . Co (GrRT D drJrJ Phone Number 3�� 4 3�5
Electrical Company (huolSoN r 94g.x falex+"iii Office Phone 904-316 bbSS Fax 4a4 -2A6-H3L
Co.Address: 343'1 5f ojv shN&4 City L5"kicnu-Ve. State Fes- Zip ;22o7
License Holder(Print): oh o ivo S Certification/Registration# 0041715
Notarized Signature of License Halder
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E7'��*LIOIEI'MAUGHON Swo d subscribed before me this y 1� pn N FF 2M6P5
plrea July 16,2019 Signature of Notary Public
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