730 PARADISE LN - elec permit cj ' '' `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-3383
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $2,000.00
Issue Date: 3/1/2017
Expiration Date: 8/28/2017
PROPERTY ADDRESS:
Address: 730 PARADISE LN
RE Number: 172376-0240
PROPERTY OWNER:
Name: SPRINGFIELD BUILDERS LLC
Address: 1881 BEACH AVE RALPH BUCK DAVIS
GENERAL CONTRACTOR INFORMATION:
Name: MARCO ELECTRICAL CONTRACTORS
Benjamin Edward Smith, EC13002215
Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
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 Fax (904) 247-5845
JOB ADDRESS: C`� L — PERMIT# .�(�--5 f R 2A 29
�- Grq ts-e, G
lEA INFORMATION REQUIRED ON ALL PERMITS aOO AMPS 2 VOLTS / PHASE
VALUE OF WORKS D.40°°• `)J
NEW SERVICE Ti Overhead '14Underground nl Underground up Pole
Residential (Main) Service
0-100 amps 101-150amps 151-200amps 200____amps # of Meters
Commercial(Main) Service
0-100 amps 101-I50amps 151-200amps _ amps CT Service amps
Conductor Type _ Size _
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CI' Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps I01-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits Ci) 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 sets of plans)
Qty volts/amps VALUE OF WORK S .
REPAIRS/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 tier 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 he complied with whether
specified or not. The permit does not give authority to Violate the pro'isions of an other state or local law regulation construction or the perliwmtutce of
construction.
Le
Property Owners Name ��� Y0�� Phone Nttntber 0 La - 2)4-5
Electrical Company nr)C:LY L0 kQ.-Vrt 00i Lir Office Phone °M-11135". 30 Fax 9.23- f f -1
Co. Address: '7 2- .g., /.,0 rn t f I C r't-e L l City 3-�°�'"'`"`lk State '1 Zip 3a?-11License Holder(Print): k�+ �- f��- /i State Ce ` iot�/Registration# . 13`)J`'� '�
Notarized Signature of License Holder ,, 4 ,-- •
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Sworn a subscribed before me this I day of 1'x'1 Q r c.k 20 11
BONNELL W.CRAIG Signature of Notary Public,A ,i
MY COMMISSION#H167433203
f�,+, EXPIRES:DecemberDecemberI I,,201818