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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 � Electrical Company Office Phone ax Electrical Co. Address: �/7 Q City _State�G Zip r Tb L License Holder(Print): 1 l lZI* State,Certification/ tion N .a'N'•f"3ns Je+wrtaaoaasToa lder tnr ccauaaonxac 04290. efore me this elj day of 20 _ U% s:Oclaaer lT,arta w'^R'•, "r"'w`wa.aaun ryPublic ignatureofNota