145 PINE ST - ELECTRIC 4lik,.''' -'isCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ; - ' ;' 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-2936
Job Type: ELECTRIC ONLY
Description: remodel/repair 9 outlets/switches & 5 fixtures
Estimated Value:
Issue Date: 1/5/2017
Expiration Date: 7/4/2017
PROPERTY ADDRESS:
Address: 145 PINE ST
RE Number: 170635-0200
PROPERTY OWNER:
Name: WELLS ET AL, JOHN BENJAMIN
Address: 145 PINE ST 145 PINE ST
GENERAL CONTRACTOR INFORMATION:
Name: VOLT EDGE ELECTRIC INC.
Daniel Shane Paskey, ER13014971
Address: P.O. Box 24091
Phone: 904-386-9782
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $5.40
Trade Permit Base Fee $55.00
Lighting Outlets, Including $3.00
Fixtures
Total Payments: $67.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5845 1,1- — LJ _ as ,
JOB ADDRESS: /'' go-, 5+ • PERMIT# •
JEA INFORMATION REQUIRED ON ALL PERMITS (50 AMPS ZLfv VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground 01 Underground up Pole
[Residential(Main)Service
L 0-100 amps [.101-150amps L1151-200amps amps #of Meters
[Commercial(Main)Service
U0-100 amps [101-150amps U 151-200amps C. amps UCT Service_ _ amps
Conductor Type Size
5 Multi-Family(Main)Service
L0-100 amps [J 101-150amps U 151-200amps :] amps #of Unit Meters
'.]Temporary Pole H amps
SERVICE UPGRADE H i amps [_1 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L.1100 amps H l I50amps [u200amps 1 amps I]CT Service amps
ADDITIONS,REMODEL4nREPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: `I 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
[TSwimming Pool 7 Sign [-1 Smoke Detectors_Qty [Transformers KVA [Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps _ VALUE OF WORK S
REPAIRS/MISCELLANEOUS
[Replace Burnt/Damaged Meter Can L7 Safety Inspection 7Panel Change LOH to UG
Other:
Permit hecomes 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 7t4,, O UfAf11 f(V Phone Number
Electrical Com arffD/�tt 666c- [�i>/%C t'vG/C Office Phone6 x /
Co.Address: d. 57 2'ft//f City IA X* State h.. Zip -3ZZ474
License Holder(Print): 4w 416..7 State Certification/Registration# (50/417f
Notarized Signature of License Holder arc.."
'4-1A:. JENNIFER JOHNSTON
---1;efore me this day of -G O. -kiX('1 20 \ -1-
..........
( �. WCOMMISSION N00042964 signature of Notary Public
T;: l EXPIRES:October 27,2020
''%..P,f fe Bonded Thru Notary Public Underwriters