1330 Ocean Boulevard elec permit jr-1Jj� iA
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-2537
Job Type: ELECTRIC ONLY
Description: raise kitchen outlets up over new backsplash
Estimated value: $500.00
Issue Date: 11/10/2016
Expiration Date: 5/9/2017
PROPERTY ADDRESS:
Address: 1330 OCEAN BLVD
RE Number: 171847-0000
PROPERTY OWNER:
Name: PALEY, SEAN GALICIA, '
Address: 1330 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: DYNAMIC ELECTRIC, INC
,ER0014542
Address: 4266 Hillwood RD
Phone: -
FEES:
Lighting Outlets, Including $1.80
Fixtures
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $60.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORmA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 —EL —a S3�
,r�
Ph(904)247-55826 Fax(904)247-5845 L
JOB ADDRESS: /330 ncl-'61� /5 1yd' PERMIT#
Rf14nlrc ffesa 4P7. 32233
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS 7.4 G VOLTS_�PHASE
VALUE OF WORK$CS6O.OD
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
CResidential(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps #of Meters_
❑Commercial(Main)Service
00-100 amps [1101-150amps ❑151-200amps 0 amps OCT Service_amps
Conductor Type Sin
❑Multi-Family(Main)Service
00-100 amps D101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑_amps
SERVICE UPGRADE E) amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps ❑200amps ❑ amps ❑CTService_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 Qkw
iNumber of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[]SwimmingPool ❑ Sign []Smoke Detectors_Qty ❑TransformersKVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of pians) VALUE OF WORK
$
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safely Inspection ❑Panel Change OOH to UO
'Other-. 941'5E /(IVo4EA.1 &4/eM 40' offer NEa 13AkK- SY1414
Permit biomes void if work does not commence within a six month period or work is suspended m abandoned for six months. I hereby ,tiry that I have
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 orany other state or local law regulation construction or the performance of
construction.
Property Owners Name M1- PA 14-Y Phone Number
Electrical Company DYNfI►✓1/L O&LI /L Office Phone 90'1'154.04a�Fax 90yZgz-rasa
Co.Address: g2&b City J-A X ' StmegLZip 3 5
License Holder(Print): 1ek1rrC State Certification/Registration# YZ-
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