1860 Mayport Rd elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
rJ 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-3146
Job Type: ELECTRIC ONLY
Description: replace damaged overhead service riser
Estimated Value: $500.00
Issue Date: 2/1/2017
Expiration Date: 7/31/2017
PROPERTY ADDRESS:
Address: 1860 MAYPORT RD
RE Number: 172096-0100
PROPERTY OWNER:
Name: QUEST, JOSEPH
Address: 11700 PRESTON RD APT 660 11700 PRESTON RD
#660 193
GENERAL CONTRACTOR INFORMATION:
Name: JAMES D. HINSON ELECTRICAL
James Daniel Hinson, ECOOOLS88
Address: 11609 W COLUMBIA PARK DR QA JAMES DANIEL
HINSON
Phone: -
FEES:
Electrical Repairs $35.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANITC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)/247-15826 Foot(904)247-5845 ('�_E Lt✓L-31 �[(o
JOB ADDRESS: ma..t,eg-1 Alia PERMTT#
, I
JEA INFORMATION REQUIRED ON ALL PERMITS /A0 AMPS a ND VOLTS PHASE
VALUE OF WORKS SO0. 00
NEW SERVICE ❑ Overhead ❑ Underground 0 Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters_
❑Commercial(Main)Service
00-100amps 0101-150amps 0151-200amps ❑ amps OCT Service_amps
Conductor Type Size
❑Multi-Family(Main)Service
❑O-100 amps 0101-150amps ❑151-200amps El-----Amps #of Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps OCT 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
❑Swimming Pool [] Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 seta of plans)
Qty_volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
❑Replace Burra/Damaged Meter Can ❑Safety Inspection OPanel Change OOH to UG
OG`Gther: pj4ego Jila,1QGPo1 (9 � Yel%,; (e X;ser
TTT=void if wok dots not commence within as.month period or work is suspended or abandoned for six months. I hereby ceNfy Nat I have
read Nis appli.6m and know the same m be true and correct All provisions of laws and ordinances governing this work will be complied with whether
specifiedornot The permit does not give authority m violate the provisions ofany other state or local law regulation construction or the perfomtance of
conateramm, '�-
Property Owners Name c-)02+0 /QV 1�5 Phone Number
Electrical Company ream<f a. q;.,3o E,Fcic:c.I ;or2Office Phone aha"3yOr Fax db8"3ds3
Co.Address: 11609' Co ',L Pa. �r:-P tsps City -Yaa.k/onj: Lie StateFl zip .addSSY
License Holder(Print): ^.:ee State Certification/Registration# `COOO/fig
Notarized Signature older
JENNIFER IONNStON
5�
a'^' MYCOMMISSIONaG7.N20a Swo dsubscribed before m s l qday,of Fl trM't1� 20
ErriaEs:ocaearzu�.°m.a Notary \\ J(,L�L�^�"
o ,es' ge„aoanwNaury wa_e Signature of No Public�_w,n