1820 Sevilla Blvd 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-2725
Job Type: ELECTRIC ONLY
Description: repair 3 kW heat circuit in first floor lobby
Estimated Value: $350.00
Issue Date: 12/6/2016
Expiration Date: 6/4/2017
PROPERTY ADDRESS:
Address: 1820 SEVILLA BLVD
RE Number: None
PROPERTY OWNER:
Name: SEVILLA CONDO.ASSOC.
Address: 1800 SEVILLA BLVD
GENERAL CONTRACTOR INFORMATION:
Name: PHASE ONE ELECTRIC LLC
Oliver Van De Kamp,EC13005339
Address: 2076 CORONA CT OLIVER VAN DE KAMP
Phone:
FEES:
Electrical Heat $6.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $65.00
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
Cr�1 Ph(904)247-582266C'll
Fax(904)2447-5845 `O (b-U&61
JOB ADDRESS: O d.O SeV A\\U U\�, 1� ct RMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORKS ) ,rrl
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
❑O-100 amps 0101-150amps 0151-200amps IJ amps 0 O Meters_
"Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑_amps ❑CTServfce_amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps #of Unit Meters
❑Temporary Pole Damps
SERVICE UPGRADE 0 amps ❑CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switchm: 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
0Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA OMotorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/lumps VALUE OF WORK I:
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can OSafety Inspection [J Panel Change OOH to UG
❑Other.
Permit becomes void ifwork does not commence within a atx month period"work is suspended or abandoned for six months. I hereby certify and I 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 noL The permit does not give authority to violate the provisions of my other stale or local law regulation construction or the perfomur ce of
construction. c� A - avrA[T 'A1
Phone Number Owners Name
` �� FxElectrical Company Trran,(-- Office Phone a�-$Q
Co.Address: rl"i7C Cr is e rr City -1^.r '*rJt1r State R Zi ��14
License Holder(Print): State Certification/Registmtion#t I�-�/'��
Notarized Si nature of License Holder
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