178 Seminole Rd elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
.i JY.19�
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30BINFORMATION:
Job ID: 17-ELEC-3106
Job Type: ELECTRIC ONLY
Description: upgrade service- 200 amps/240 volts/single phase
Estimated Value:
Issue Date: 1/26/2017
Expiration Date:_ 7/25/2017
PROPERTY ADDRESS:
Address: 178 SEMINOLE RD
RE Number: 170594-0000
PROPERTY OWNER:
Name: Balkman, Brian
Address: 178 Seminole RD
GENERAL CONTRACTOR INFORMATION:
Name: ELITE ELECTRICAL SERVICES LLC
Michael Charles Schweitzer,EC13005943
Address: 11611 CAPE HORN AVE CIA MICHAEL CHARLES
SCHWEITZER
Phone: -
FEES:
Electrical Service Change $50.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
AC Circuits $5.00
Electrical Appliances $8.00
Electrical Heat $2.00
Lighting Outlets, Including $9.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDMG CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Fixtures
Switch Outlets $6.00
Total Payments: $139.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)))247-5826 Fal (904)247-5845 14-6LEC-s (pfo
JOB ADDRESS: 1 S �I7/%IP � PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑l Underground up Pole
Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Metes
[]Temporary Pole ❑ amps
SERVICE UPGRADE ❑amps ❑ CT Service amp,
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps ❑150amps 0200amps ❑ amps ❑Cf Serviceamps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Appliances:
-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 Fix res:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool -1 Sign []Smoke Detectors_Qty ❑Transformes KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAHLS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
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 1 have
read this application and know the same to be nue 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
cormety
Prop
Properrty Owners Name Phone Number
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Electrical Company Office Phone ax
Electrical
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License Holder(Print): 1 l lZI* State,Certification/ tion
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