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859 Ocean Blvd elec permit rt y1,1 r 5 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: 17-ELEC-2994 lob Type: ELECTRIC ONLY Description: remodel 4 outlets/switches >31 amps & 6 outletsfxtures Estimated Value: $2,000.00 Issue Date: 1/13/2017 Expiration Date: 7/12/2017 PROPERTY ADDRESS: Address: 859 OCEAN BLVD RE Number: 170246-0010 PROPERTY OWNER: Name: MURPHY, ALISON J & ROBERT, ' Address: 859 OCEAN BLVD GENERAL CONTRACTOR INFORMATION: Name: LIN'S ELECTRIC INC Virgil Lindsey Rhoden,Jr.,EC13007419 Address: 3840 MAGILL RD QA VIRGIL LINDSEY RHODEN JR Phone: - FEES: Lighting Outlets, Including $3.60 Fixtures State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Switch Outlets $2.40 Trade Permit Base Fee $55.00 Total Payments: $65.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH �rJ q 800 Seminole Rd,Atlantic Beach,FL 32233 0 l Ph(904)247-5826 Fax(904)247-5845 C_a cl cf L JOB ADDRESS: r ©a&— &10j, PERMIT# / JEA INFORMATION REQUIRED ON ALL PERMITS -,�O J AMPS Z a VOLTS PHASE VALUE OF WORK$_ZMc ' NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole DResidential(Main)Service 00-100 amps []101-150amps D 151-200amps I i amps #of Mutant OCommercial(Main)Service 00-100 amps O 101-150amps 0151-200amps 0— amps OCT Service amps Conductor Type Sita OMalti-Family(Main)Service DO-100 amps 0101-150ani 0151-200amps ❑ amps #of Unit Meters_ ❑Temporary Pole O amps SERVICE UPGRADE ❑_amps O CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) O 100 amps D 150atnps O200amps Oamps OCT 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 @kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS OSwimming Pool [] Sign OSmoke Detectors_Qty OTmnsformers KVA OMotors_hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OFWORK S REPAIRSIMISCELLANEOUS OReplace Bumt/Damagsd Meter Can OSafely Inspection []Panel Change DOH to UG ❑Other. To r, Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for Six twontha 1 hereby cerlify that 1 have read this application and know the same to be true and conect. 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 performance of e o unetine. I, Property Owners Name r I ` `r S 01 ' ' ` l^ r p'\Y Phone Number Electrical Company �^ I•s �/eCn�n``--1-Zhc Office Phone I'- L -YG Fax /93 gSGG Co.Address: 3!N D m ra i(I UC�txk. City 1 AX StateL zip 3ZO06 License Holder(Print): ! t L C- St8 Certification/Registration 13"r Notarized Signature ojLicense Holder. EMIFER JWNsroN Before me this 13 day of 20 MY COMMISSION a GG M'1aN r NREs.oeaea:r.xom Signature of Notary Public U r•.pt 9ardaaileu NobryvwkuNrralan 0 V s'f..° S ATLANTIC BEACH PERMIT RECEIPT O;s39 January 13, 2017 PERMIT DESCRIPTION: remodel 4 outlets/switches>31 amps&6 outlets/fixtures PERMIT NUMBER: 17-ELEC-2994 CITY OF ATLANTIC BEACH 800 SENBNOIF RD ADDRESS: 859 OCEAN BLVD ATLANTIC BEAC,R 32233 01,1320!7 15:17:32 OWNER: CREDIT CHAD Lighting Outlets,Including Fixtures $3.60 NSA SAIF CARD u NXNXRY XX2471 INVOICE 0006 State Elec DBPR Surcharge $2.00 SEQ a: 0006 WN: 000477 Approval Cork: 090735 State Elec DCA Surcharge $2.00 Et7 fid: Mawal Node: OHM Switch Outlets $2,40 Tax kwt $000 Cad Code: M Trade Permit Base Fee $55.00 SALE AMOUNT X51 CUSTOMER COPY Totals: $65.00 p,\O CPN 13�� BEP.cH Y.wASYc CYAN �\eO\'F pS V