71 FORRESTAL CIR - ELECTRIC IJ. ls CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
\-6 • 7-:f" 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-3004
Job Type: ELECTRIC ONLY
Description: upgrade service, electrical for hot tub, 2 A/C circuits >60
amps
Estimated Value:
Issue Date: 1/17/2017
Expiration Date: 7/16/2017
PROPERTY ADDRESS:
Address: 71 FORRESTAL CIR
RE Number: 171733-0000
PROPERTY OWNER:
Name: HARBER, RAYMOND P
Address: 71 FORRESTAL CIR
GENERAL CONTRACTOR INFORMATION:
Name: FRANKLIN ELECTRIC SERVICE
, ER13013898
Address: 4 TALLWOOD RD QA JARRETT ADAM FRANKLIN
Phone: - -
FEES:
AC Circuits $10.00
Electrical Service Change $50.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Swimming Pools $40.00
Trade Permit Base Fee $55.00
Total Payments: $159.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII 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
Ph (904)247-5826 Fax (904) 247-5845 II-- e 3 00 y
JOB ADDRESS: 7 I V'0a5T.L cit• S • PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS OO AMPS 1 Z9/ZLIOVOLTS ( PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
[I Residential(Main)Service
L0-100 amps Li 101-150amps Li 151-200amps t -_ amps # of Meters
[Commercial(Main)Service
E0-100 amps L1 101-150amps 1115 1-200amps amps LI CT Service amps
Conductor Type Size
CiMulti-Family(Main)Service
L0-100 amps El 101-150amps Li 151-200amps :1______amps #of Unit Meters
[ITemporary Pole n amps
•
•
SERVICE UPGRADE Itt ZQ(() amps Li CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L_1100 amps [l 150amps LJ200amps i amps [)CT 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
awitmning-Pat11 T. Sign [iSmoke Detectors Qty [[Transformers KVA . 1Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can Li Safety Inspection :Panel Change r10H to UG
1
DOther:
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.
Property Owners Name 1.Av R-A 1 -k rE AitBCa..- Phone Number
Electrical Company CA A1/4)It LIZ eT/L I C 4A)i CC Office Phone &Z9'49 Z5--
Fax
Co.Address: I2 0, -6OX 5123 7 City 5A-1C ? State Ft Zip 3'-21/0
License Holder(Print): Z5Ac7 7fl'( /Lai 101.1 ' State Certification/Registration# 13 01 35 6
Notarized Signature of License Hok _ 441 -----
•
Ant., JENNIFER JOHNSTON Before me th 1A-43 day of - LIAAAV 20 1".A-
1 / ., s MY COMMISSION#GG 042954 v
_vi EXPIRES:October 27,2020 Signature of Notary Public
. as, Bonded TIvu Notary Public Underwriters