77 Shell St elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J - ATLANTIC BEACH,FL 32233
_ INSPECTION PHONE LINE 247-5814
m Dia
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
306INFORMATION:
7obID: 16-ELEC-2521
Sob Type: ELECTRIC ONLY
Description: rewire bathroom from existing circuits, re-route light
switches
Estimated Value: $300.00
Issue Date: 11/9/2016
Expiration Date: 5/8/2017
PROPERTY ADDRESS:
Address: 77 SHELL ST
RE Number: 169582-0000
PROPERTY OWNER:
Name: WHITE REV TST ET AL, ELIZABETH,
Address: 1510 EAST RD
GENERAL CONTRACTOR INFORMATION:
Name: RIVER CITY ELECTRIC
John Rex Cook, EC0000568
Address: 2825 HOLLYBAY RD QA JOHN REX COOK
Phone: -
FEES:
Lighting Outlets, Including $2.40
Fixtures
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $61.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax (904)247-5845 Ilo'EL�C-'����
JOB ADDRESS: 1 5,^`\k 9 k- . PERMIT# 16-L"L 2509
JEA INFORMATION REQUIRED ON ALL PERMITS Z-� AMPS W O VOLTS ( PHASE
VALUE OF{VOR%$ 300 --V
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main)Service
70-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
!0-100 amps 1 101-150amps 0151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps 101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole -1 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
_ 100 amps G 150amps ❑200amps ❑ amps OCT Service 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 @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign [,Smoke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAHtSMSCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection Cl Panel Change ❑OH to UG
�OJer. �SCa_ 1pq�rvraov^-Crn+"` �idstme, G1�A�-r� �C- Swvl�Ls4�
Permit 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
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 my other scale or local law regulation construction or the performance of
construction. \\��
Property Owners Name F—\t 2Zs> Phone Number
Electrical Company e1q. ` Ay'l )a� x�O. ��Z�• Office Phone 5� –06–K--06–K-( - Fax
Co.Address: 0`501 {A
1- ..E , to., \l.A.. City 0' - Statt-. Zip 7Q T775
License Holder(Print): �..� State Certification/Registration#
Notarized Signature of License Aolde ` �—
. - KITT'/COOK Sw m d subscribed before me this day of N °`J�`^^��� 20
�• Notary Public-Olne of FIM/a
Ca..1111 n I FF 920710 Signature of Notary Pub k-
.: My Comm.Expires Jan 15.2020
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