1535 Selva Marina Dr new 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
JOB INFORMATION:
Job ID: 17-ELEC-3284
Job Type: ELECTRIC ONLY
Description: new electrical service - 300 amps/240 volts/ single phase
Estimated Value: $20,000.00
Issue Date: 2/17/2017
Expiration Date: 8/16/2017
PROPERTY ADDRESS:
Address: 1535 SELVA MARINA DR
RE Number: 171948-0000
PROPERTYOWNER:
Name: 1535 Selva Marina Drive LLC
Address: 501 Riverside AVE
GENERAL CONTRACTOR INFORMATION:
Name: LORE ELECTRICAL CONTRACTORS
Michael Lee Lore, EC13006692
Address: 21ONROSCOEBLVD QA MICHAEL LEE LORE
Phone:
FEES:
New Single Family Electrical $90.00
State Elec DBPR Surcharge $2.00
State Elec; DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $149.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WIT" ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: se--lm 2Mz/';w .0z - PERNur#
JEA INFORMATION REQUIRED ON ALL PERMITS -�&D AMPS 2-ck)VOLTS PHASE
VALUEOFWORKs 2,:�� aoo
NEW:SrVICE ElOverhead M-Lderground ED Underground up Pole
esidential(Main)Service
00-100 mps 11101-150amps D 151-200anaps [/3ZrD amps of Meters
ElCommercial(Main)Service
00-100 maps 0 101-150amps 0 151-200amps 0-----amps EICTService—aalps
Conductor Type— Sin
ElMulti-Family(Main)Service
00-100 amps E1101-150amps El 151-200amps 0 amps of Unit Meters
OTemporary Pole
SERVICE UPGRADE 11 amps El CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150ampe; 0200anips 0___jamps EICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps _31-100amps 101-200amps
A/C Circuits: Z— 0-60amps _61-100amps
Heat Circuits: Z�— 4 circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0S%vimmingPcoI DSign 0 Smoke Detectors_Qty FITransionners KVA Olviotors—hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—voltstamps— VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace BumtDamaged Meter Can DSalety Inspection 01'annel Change 0OHtoUG
DOther:
Permit becomes void if o,ork does not commence within a six month period or work is suspended or abandoned for six months. thereby cerfify that I have
mad this application and know the same to be true and comet. All provisions of laws and ordinances governing this work will be complied with whether
specified or WL Tbe permit does not give authority to violate the previsions of my other state or local law regulation construction or the performance of
construction.
Property 0xvners;Name 'S�J."i, / Y3 5 Z?�--hone Number
Electrical Company ko&�- &IL-A-1 �A I (", Office Phone 27�-//q� Fax-323 ?0/9
Co. Address: 2�o Af xsooe- 6(d'o. City 6 64A. State IL Zip 32-.,,?2-
License Holder(Print): M,�Ll /�;ta e Certification/Registration# 13 D 13 o2 6
Nota o1d,,.:::7
JOHNSTON
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Beforemethis dav of
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v,
Si gnature of Notary Public
V U
Cash Register Receipt Receipt Number
City of Atlantic Beach R3962
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $55.00
17-ELEC-3284 Address: 1535 SELVA MARINA DR APN: 171948 0000 $55.00
ELECTRICAL FINAL 01/17/2018 MJ $55.00
ELECTRICAL FINAL 01/17/2018 MJ 45500003221002 0 —$55.007
�TOTAL FEES PAID BY RECEIPT: R3962 $55.00
Ll i'y u�A!LANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,I'L 32233
16:32:21
CREDIT CARD
MC SALE
Card XXXXXX=4133
SEQ#: 9
Bath 9: 523
INVOICE 9
Approval Code: 95592P
Entry Method: Manual
Mode: Online
Card Code: M
SkE AMOUNT �551
CUSTOMER COPY
Date Paid: Wednesday, January 17, 2018
Paid By: LORE ELECTRICAL CONTRACTORS
Cashier: BA
Pay Method: CREDIT CARD 9
A
I
Printed:Wednesday,January 17,2018 4:32 PM I of I I
TRAKiT