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1977 Seminole Rd elec permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 306 INFORMATION: Job ID: 17-ELEC-3135 Job Type: ELECTRIC ONLY Description: add/remodel 18 outlets/switches >30 amps, 5 appliances >30 amps, 12 outlets &fixtures Estimated Value: $2,500.00 Issue Date: 1/31/2017 Expiration Date: 7/30/2017 PROPERTY ADDRESS: Address: 1977 SEMINOLE RD RE Number: 169542-0502 PROPERTY OWNER: Name: Winkelman, Dennis Address: 1977 Seminole RD GENERAL CONTRACTOR INFORMATION: Name: WADE'S ELECTRIC SERVICE Wade Eugene Ketchum, EC13001538 Address: P O BOX 17237 QA WADE EUGENE KETCHUM Phone: - FEES: Electrical Appliances $10.00 Lighting Outlets, Including $7.20 Fixtures State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Switch Outlets $10.80 Trade Permit Base Fee $55.00 Total Payments: $87.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 P�(904)247-5826 Fax(904)}247-5845 1,+_ E(-c_ 3135 .TOB ADDRESS:� 7 7 �M flA l_4.25_S., / eJ 1�1 PERMIT JEA INFORMATION REQUIRED ON ALL PERMITS 7 QCl AMPS z 1-o VOLTS PHASE VALUE OF WORK$_2y ©e-) NEW SERVICE ❑ Overhead Underground Underground up Pole ❑Residential(Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service 00-100 amps 0101-150amps 11151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service 00-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters ❑Temporary Pole❑ otups SERVICE UPGRADE ❑ amps ❑ CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps OCT Service_amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Swmpitches: _/ 9 0-30as 31-100amps 101-200amps Appliances: - 5 0-30amps 31-100amps s 101-200am A/C Circuits: 0-60amps 61-100am s P Heat Circuits: # circuits Qa kw P Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming P0o1 ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG ❑Other: Fourth becomes void if work does not commence within a sin month period or work is suspended or abandoned for sin 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 ofany other State or local law regulation construction or the performance of construction. 1 \ Property Owners Name Phone Number 9L Electrical Company Office�Phone tl g 3-i38P1� qQ 4 Z 3 Co.Address: 60 �$f.I'� q City Q,;�— State EL-Zip 3222f License Holder(Print): I ^ �- c � � State Certific��on/R 'sn ' n# EC-1300/S3B Votari a �l9islf er W�Q4_ .Rlrl;!,wk.'s JENNIFERJCNNSTON MY COMMISSION R GG 0aY9M fore me this 30 — day Of FXPIRES:Oct°aartT.aMO 20 1'�- `•: c,;• Bentl'"""'Na1ryPub1UA4sniXN' gnature of Notary Public