Loading...
715 Atlantic Blvd #1 elec permit rf IyLJrI�� . •>J 11�n CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j s ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job To: 16-ELEC-2856 Job Type: ELECTRIC ONLY Description: ELECTRIC - REPLACE BURNT DISCONNECT OUTSIDE Estimated Value: $900.00 Issue Date: 12/22/2016 Expiration Date: 6/20/2017 PROPERTY ADDRESS: Address: 715 ATLANTIC BLVD 01 RE Number: None GENERAL CONTRACTOR INFORMATION: Name: DEPENDABLE ELECTRICAL , ER13014338 Address: 2009 S JIMMY LN MUKESH T VARDE Phone: - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Electrical Repairs $35.00 Trade Permit Base Fee $55.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 -(—� LEC— z 8 S co JOB ADDRESS: 6\yd PERMIT// JEA INFORMATION REQUIRED ON ALL PERMITS X00 AMPS 2�B VOLTS PHASE VALUEOFWORK$ 0.o0.00 NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole ❑Residential(!Hain)Service ❑0-100 amps 0101-150ampS 0151-200amps f I _ _..amps N of Maters_ ❑Commercial(Main)Service 00-100 amps 0101-150amps 0151-200amps O__ maps UCT Service_amps Conductor Type Sin OMulti-Family(Main)Service 00-100 amps 0101.150amps 0151-200amps 0_. amps B of Unit Meters_ I(Temporary Pole []_amps SERVICE UPGRADE ❑ amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 0150amps 0200amps []_amps OCTService_amps ADDITIONS,REMODELS,REPAIRS,BUH.D-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: H circuits Qkw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign OSmoke Detectors_Qty ❑Transformers KVA OMotors_bp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty voltstamps VALUE OF WORK$ REPAMSMSCELLANEOUS OReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG '�Odter. �p\coca �uvs.} 6s'�r_m-r cc9c o�SiA� Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six monNs. 1 hereby certify airi f have read this application and know the same to be true Rod coned 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 state or local law regulation construction or the performance of construction. Property Owners Name ��,A' F- Phone Number 010lA-qq1 - 0.\0.3 Electrical Company �a-��"xV\'` E\Qo-k�c°J r"+��t>,r-4^'S OfficePhonelk +-3?4->6y4 Fax Co.Addm,: o'r's a»`e­ City " saelL%v-o1\ve State Fr- Zip 3' License Holder(Print): State Certification/Registration k C-'esSo\4'x14 Notarized Signature of License Holder .W Ws"U�001 Before me thisZ day of 20BFF824951bRr6,E919 Signal=of Notary Public uamuma.nan