340 8th St new elec permit - change of contractor 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-2884
Job Type: ELECTRIC ONLY
Description: 400 AMPS 240 VOLTS 1 PHASE
Estimated Value: $1,200.00
issue Date: 12/28/2016
Expiration Date: 6/26/2017
PROPERTY ADDRESS:
Address: 340 8TH ST
RE Number: 169928-0000
PROPERTY OWNER:
Name: Sifakis, Alex
Address:
GENERAL CONTRACTOR INFORMATION:
Name: ALLSTATE ELECTRICAL CTR INC.
, E00000113
Address: P O BOX 550617 CIA JAMES L. WILLIAMS
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Electrical Primary Service $50.00
Total Payments: $109.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORHIA
BUILDING CODES.
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ELECTRICAL PERMIT APPLICATION
I lI CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
f� pr. Ph(904)247-5826 Fax(904)247-5845 ((�-FLCC-acY811
JOB ADDRESS: 23 ;kJ O' S-�' PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS � AMPS ZVO VOLTS �_PHASE
VALUE OF WORK$ 4226 c`
NEW SERVICE ED Overhead EJ Underground 0!y underground up Pole
HResidential(Main)Service
00-100 snips 1:1101-150amps ❑151-200amps Rl—lumps #of Meters_
❑Commercial(Main)Service
00-100 amps 0101-150amps D151-200amps ❑ amps ❑CT Service_amps
Conductor Type Sime
❑Multi-Family(Main)Service
❑0.100amps 7101-150amps 0151-200amps 11 amps of Unit Meters
+tempo .
rary Pole amps
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ❑CT Service snips
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 ❑Motom_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK 8
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can El Safety Inspection ❑Panel Change OOH to UG
❑Other:
Permit becomes void if work does not commence within a sin month period or work is suspended or abandoned for sic months. I hereby certify that I have
read this application and know the surae to be true and wrtect. All provisions of laws and ordinances governing this work will be complied with whether
specified or not The permit does not give authority m violate the provisions of any other shite or local jaw regulation construction or the performance of
construction.
Property Owners Name Phone Number�!/5� ' $9[_�•��
Electrical Company PA.1l �a, ,,;e,� r t - Office Phone yD][�at QSEo Fax d9L-. 7/
Co.Address: :z la-1,6" City�Ts�s�a4--• State.'i Zip
License Holder(Print): VW'W d—SS /L ��.11114AWW State Certification/Registration#
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11 r Notary lc n State of 355 Sworn and subscribed before m '' ?e rr 2016�
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• My Comm"Expirn Jun 1.2019 Signature of Notary Public
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