397 Ahern St 17-ELEC-3025 elec permit 4-116
dfrCITY OF ATLANTIC BEACH
S
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-3025
Job Type: ELECTRIC ONLY
Description: ELECTRIC - RELOCATE CIRCUITS
Estimated Value: $300.00
Issue Date: 1/18/2017
Expiration Date: 7/17/2017
PROPERTY ADDRESS:
Address: 397 AHERN ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: RIVER CITY ELECTRIC
John Rex Cook, EC0000568
Address: 2825 HOLLYBAY RD QA JOHN REX COOK
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Appliances $6.00
Trade Permit Base Fee $55.00
Total Payments: $65.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: ,3°‘.1 'P.\h es v\ s', PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 11-0 AMPS 2-L10 VOLTS I PHASE
VALUE OF WORK$ 300 •
NEW SERVICE ❑ Overhead E Underground ❑r Underground up Pole
0Residential(Main) Service
00-100 amps U 101-150amps 0151-200amps ❑ amps #of Meters
0 Commercial(Main)Service
00-100 amps D 101-150amps ❑151-200amps D amps OCT Service amps
Conductor Type Size
LI Multi-Family(Main)Service
00-100 amps D 101-150amps 0151-200amps D amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps D amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection D Panel Change ❑OH to UG
,/'Other: (ZQ_to„- 4.- 47 . VJa4 ��•0, c_,t'cxc- s vv�� 1c�c_ \+. "..
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that 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 not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. o -�,
Property Owners Name 1\OyaM P , v \ Phone Number
\
Electrical Company �v e-C OA . \ ' EN t J1c . ..L.^'C—• • Office Phone 51(-OL7 5- Fax
Co.Address:at±51-1' k•.\ - • City 0.P , State Zip 32c.57 3
License Holder(Print): -7An^ Q- . S--=1"- ----- -tate Certification/Registration# E_L "SC,Y
Notarized Signature of License Holder _dig L
-
Swo"'�� d subscribed before me this \t •ay of �0 20 Z�
ss,so P ,, KITTY COOK 1 =
". ``t- Notary Public-State of Florida Signature of Notary Public ,
�, s Commission#FF 920346 .
• cf,; My Comm.Expires Jan 15.202:
nirh National Notary Ass