1651 Mayport Rd 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 NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2730
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW HOME 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $10,500.00
Issue Date: 12/7/2016
Expiration Date: 6/52017
PROPERTY ADDRESS:
Address: 1651 MAYPORT RD
RE Number: 172072-0000
PROPERTY OWNER:
Name: CONSELICE JR ET AL, JOSEPH J
Address: 1651 MAYPORT RD
GENERAL CONTRACTOR INFORMATION:
Name: ROBBINS ELECTRICAL SERVICES
,ER33013704
Address: 7748 NORMANDY BLVD CIA MICHAEL DAVID ROBBINS
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 I (p-ELCC- - 7-73
Ph((904)247-58826 Fax(904)247-5845 p
JOB ADDRESS: A/ f
S1 1414 ' ol-- - Rog,-, PERMIT#16"SF)Z-q09
JEA INFORMATION REQUIRED ON ALL PERMITSZ100 AMPS�1�VOLTS -f PHASE
VALUEOFWORK$ I0, SQA'
NEW SERVICE ❑ Overhead Underground {ill Underground up Pole
1110tesidentiai(Main)Service
DO-100 amps [1101-150amps W151-200amps IJ amps of Meters
DCommercial(Main)Service
00-100 amps DIOI-150amps 0151-200amps Lamps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
DO-100 amps 0101-150amps D151-200amps D__amps 9 o Unit Meters
❑Temporary Pole D amps
SERVICE UPGRADE Damps O CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D loo amps D 150amps 0200amps Damps 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 aQkw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool OSign D Smoke Detectors_Qty DTransformers KVA OMotom_hp
FIRE ALARM SYSTEM (Requires 3 sets of plaus)
Qty volts/amps VALUE OF WORK d
REPAHRS/MILSCELLANEOUS
DReplace Burnt/Damage�d�Meter Can
❑Safety Inspection ❑Panel Change OOH to UO
h
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby eeNfy that 1 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 any other state or local law regulation construction or the performs r"of
construction.
Property Owners Name' f/C Phone Number
Electrical Company Or G�/'i cel/ Sir.SHG. Office
rPhone2W/775Fax
Co.Address: 7y / $/�.� a.�y$'313 City �f/ Zip 3 27-�-
/ �n7
License Halder(Print): esu /� State Certification/1Registratioa#EP13Q 1370V
7
Notarized i lder
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uvcownlssloaefP9za9s1 afore methis dayo 20
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*$sJh,r aa,eran„,wav Poer<ummmers Signature of Notary Public