1619 Atlantic Beach Dr elec permit CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
;9 ATLANTIC BEACH,FL 32233
y INSPECTION PHONE LINE 247-5814
r J3
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2509
Job Type: ELECTRIC ONLY
Description: new electrical service - 300 amps/240 volts/single phase
Estimated Value: $7,000.00
Issue Date: 11/8/2016
Expiration Date: 5/7/2017
PROPERTY ADDRESS:
Address: 1619 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: RIVER CITY ELECTRIC
John Rex Cook, EC0000568
Address: 2825 HOLLYBAY RD CIA JOHN REX COOK
Phone: -
FEES:
New Single Family Electrical $90.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $149.00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDENG CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 1 C''/
q Ph( x
\\904)247-5826 Fa ``(904) 247-5845 ,$F2
JOBADDRESS: l.V \ PERMIT# llo /5�
JEA INFORMATION REQUIRED ON ALL PERMITS .0 O AMPS ZYo VOLTS / PHASE
VALUE OF WORK$— 7,"'—
NEW SERVICE ❑ Overhead LJ tlulterground ❑J Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps .011 Do amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
110-100 amps C 101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps DCT 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 ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK J
REPAIRS/MISCELLANEOUS
❑Replace B•^u11mt/Damaged Meter Can ❑Safety,Inspection ❑Panel Change ❑OH to UG
.;Other: I v ol) 40 W L
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 we 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 6 t��\ late C'Ta Phone Number
Electrical Company Q 1.\as Office Phone Sq('CC`T SFax
Co.Address: `Z City S4X.i�P State��11r(^ Zip3707
License Holder(Print): _ L<m State Certification/Registration# Ee-56-5
Notarized Signature of License Holder
KITTY COOK SW and subscribed before me this day of 20
'§ Notery Public-Slate of flalEs Signature of Notary Pu
Commission♦ff 820316
rsy My Comm.EYnlres Jan 15,2020
BatlM tMa W r aabrra Nor/Nsn. ,