1696 Atlantic Beach Dr elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NE)IT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-2943
Job Type: ELECTRIC ONLY
Description: repair/remodel 2 outlets/switches
Estimated Value: $500.00
Issue Date: 1/9/2017
Expiration Date: 7/8/2017
PROPERTY ADDRESS:
Address: 1696 ATLANTIC BEACH DR
RE Number: None
PROPERTY OWNER:
Name: Cote, Robert
Address: 1696 Atlantic Beach DR
GENERAL CONTRACTOR INFORMATION:
Name: DECO ELECTRICAL CONSTRUCTION
Richard Peyton Deese Jr.,ER13014871
Address: 13046 DUNN CREEK RD RICHARDPDEESE
Phone:
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $1.20
Trade Permit Base Fee $55.00
Total Payments: $60.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
RUILDNG CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BRACH
800 Seminole Rd,Atlantic Reach,FL 32233
Pit(904)247-582q Foo:�904)247-5945 11-6L&X1 aq'13
JOB ADDRESS: &LJO411rc- &C�iL Z)P"o e- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS) Ll Q VOLTS PHASE
VALUEOFWORK$— 51)0,
NEW SERVICE El Overhead Underground E3 Underground up Pole
01tessidential(Main)Se"ice
00-100 amps L1101-150amps 0 151-200amps j amps of Meters
OCommercial(Main)Semice
00-100 maps 0101-150ampos 0 151-200araps O—amps OCT Service_amps
Conductor Type_ Size
OMulti-Family(Main)Service
00-100 amps 0101-150faraps 0 15 1-200amps Lj--amps #of Unit Meters;
OTempomry Pole n—=PS
SERVICE UPGRADE 0 CT Semice_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100surnits D150amps U200amps OCTServios_amps
ADDITIONS,REMODEI-N REPAIRS,BUILD-OUTS.ACCiSSORY STRUCTURES,ETC.
Outlets/Switches: �,( -30amps 31-100amps —101-200amps
Appliances: ____0-30amps 31-100amps 101-200araps
AjC Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @_---�kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
CiSwimmingPool E] Sign 0 Smoke Detectors_Qty OTransionmers KVA OMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—voltsjmps— VALUEOFWORKA
REPAIRS/MISCELLANEOUS
D Replaces BurntMarnaged Meter Can uSidety Inspection DPanel Change [10HtoUG
00ther:
Penton becoam void if work donsfurt conannorm within am,morth period or work is suspended orbandoned for at.frouths. I hereby cerfify that I have
read this application and know the ame to be true md correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. no permit does not give authority to violate the provisions of my other state of local law regulation construction or the performance of
corounedon.
Property Owners No Phone Number
Electrical Compamya�e C 0 Ilex n Phone Fm
Co.Address: 131) C- city J-0 y State�-
License Holder(Print): 14V State Certification/Registration#
V, er
11040 Ngyo- 641"BIG
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NNIFERJ"ST iflore me this Sj`� day of 20
�Ncoq�j�� lguat=of Notary Public
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CITI of ATLANTIC BEACH
NO SEMINOLE RD
ATmnC BEkC,FL 32233
01/09�2017 CREDIT CARD 084.17
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Card# zww=9569
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CUSTOMER COPY
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (904) 247-5&'S
Cashier Id: atlbcld\atlbbja
Receipt Dart 2: 1/g/2017 8:57:21 AM
Receipt Woher: OS-72125
Jab ID: 17-ELEC-2943 - repair/remdel 2 out
lets/witches EDBPR - State Elm DRPR Surch
arge $2.00
Job ID: 17-ELEC-2943 - repair/reividel 2 out
lets/witches EDCA - State Elm DCA Surchar
ge $2.00
Job ID: 17-ELEC-2943 - repair/remadel 2 out
lets/switches 117 - Switch Outlets $1.20
Jab ID: 17-ELEC-2943 - repair/remodel 2 cut
lets/witches TP - Trade Permit Base Fee
$55.GO
Amount Due: $60.20
Tende, infwmation: Cash SGO.ZD
Tender Type: CC
Tender Ar..nt: $50.20
Change Due: $0.00