1690 ATLANTIC BEACH DR - ELECTRIC OUTDOOR KITCHEN ' ''� `S, 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
JOB INFORMATION:
Job ID: 17-ELEC-3261
Job Type: ELECTRIC ONLY
Description: ELECTRIC - OUTDOOR KITCHEN
Estimated Value: $500.00
Issue Date: 2/15/2017
Expiration Date: 8/14/2017
PROPERTY ADDRESS:
Address: 1690 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: DECO ELECTRICAL CONSTRUCTION
Richard Peyton Deese Jr., ER13014871
Address: 13046 DUNN CREEK RD RICHARD P DEESE
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including $1 .20
Fixtures
Trade Permit Base Fee $55.00
Total Payments: $60.20
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 —7
Ph (904 247-5826 Fax (904)247-5845 / E LEC--- L(,,3 L
JOB ADDRESS: /f 90M)an+k . b' aCh I)rl vc - PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS .20 C) AMPS ;NO VOLTS l PHASE
VALUE OF WORKS '0
NEW SERVICE ❑ Overhead ❑ Underground _J Underground up Pole
PResidential(Main)Service
10-100 amps r 101-150amps 7151-200amps amps #of Meters
:Commercial(Main)Service
FO-I00 amps r l 0 l-150amps n 15 I-200amps amps i CT Service amps
Conductor Type Size
Multi-Family(Main)Service
C 0-100 amps ❑101-150amps • C 151-200amps 7 amps #of Unit Meters
"Temporary Pole amps
SERVICE UPGRADE P amps CT Service amp
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
!_100 amps L 150amps L200amps amps ICT 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 t✓a` kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
P Swimming Pool '7 Sign 7 Smoke Detectors Qty C Transformers KVA P Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
!.1Replace Burnt/Damaged Meter Can L Safety Inspection LiPanel Change P01-I to UG
JOther: UM-14/ -dor net+door /'i +Chen hook-up
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 I have
read this application and know the same to he 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. d e.e r p
Property Owners Name ni Y 1/1 II GLC Phone Number
•
Electrical Company be( E l eC-}-f1 C Ai CD Il S I fru 0410/1 Office Phone 9,91(-50q-2166 Fax N j 4 (�
Co.Address: ii.3D q/ 1)1,1 Il C�►rI e R o c. City Jackson V,die State -A- Zip 32214
C-c.rmeit Oeese cuirer bt?r. e_.,�l;cP�rse. Hvider - 3
License Holder(Print): State Certt tcation/Registration # tR t 611/8`11
Notarized Signature of License Holder &&1476P�/ O/ 114e 1'
1 ,;:+,`.4% ROUTHwNW Sworn and subscribe before me this 0day of bcv,.a.ryr 20\7
I ?'„ ` Notary Public-1 U of HMOl 0
4 u `;f'= Commlaioe#N NN ( Signature of Notary Public
, My COMM.ExpMaa AP 13,211$ `
IN
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
02;15'2017 13:18:15
CREDIT CARD
VISA SALE
CITY OF ATLANTIC BEACH Card# RXX)UUOU(XXXX9561
800 SEMINOLE ROAD 1
ATLANTIC BEACH, FL 32233 SEQ :
PHONE (904) 247-5826 Batch 302
Cashier Id: atlbcld\atlbbja INVOICE 1
Receipt Date: 2/15/2017 1:19:20 PM Approval Code: 149881
Receipt Number: 0S-72433 Entry Method: Manual
Online0
Job ID: 17—ELEC-3261 — ELECTRIC — OUTDOOR K Mode:
Tax Amount: $O M
Job ID: 17-ELEC-3261 - ELECTRIC - OUTDOORCard K Code:
Job ID: 17-ELEC-3261 - ELECTRIC - OUTDOOR K
Job ID: 17-ELEC-3261 - ELECTRIC - OUTDOOR K SALE AMOUNT X60,20
Amount Due: $60.20
Tender Information: Cash $60.20
Tender Type: CC
Tender Amount: $60.20 CUSTOMER COPY
Change Due: $0.00