2190 Fairway Villas Ln 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 NEXr DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-ELEC-3435
Job Type: ELECTRIC ONLY
Description: 200 amps/220 volts/single phase remodel 20
outlets/switches >30 amps
Estimated Value: $300.00
Issue Date: 3/9/2017
Expiration Date: 9/5/2017
PROPERTY ADDRESS:
Address: 2190 S FAIRWAY VILLAS LN
RE Number: 169398-1002
PROPERTY OWNER:
Name: Keane, David
Address: 2055 Beach AVE
GENERAL CONTRACTOR INFORMATION:
Name: SILVER STRAND ELECTRIC INC
John Battee Lovett Jr., EC13003769
Address: 249 MYRA ST QA JOHN BARTEE LOVETT
Phone:
FEES:
State Elec DBPR Surcharge $2.00
State Elec; DCA Surcharge $2.00
Switch Outlets $24.00
Trade Permit Base Fee $110.00
Work W/O Permit Electrical $110.00
Total Payments: $248.00
PERMIT IS APPROVED ONLY IN ACCORDANCE VOTH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDREss: CQ19d s" if(oN Wllff� � MM PERMIT #
I
JEA INFORMATION REQUIRED ON ALL PERMITS 900 AMPS 20 VOLTS 406f- PHASE
7
VALUEOFIVORKS kaOO
NEW SERVICE El Overhead inderground E3 Underground up Pole
OResidential(Main)Service
00-100 amps E1101-150araps �O"151-200annps 11-_--jamps #of Meters
OCcurnwercial(Main)Service
00-100 amps 11101-150arnpa 0 151-200amps 0---jurrips OCT Service_amps
Conductor Type Sin
OMulti-Family(Main)Service
00-100 amps C101-150amps 11151-200amps 0--arnia #of Unit Meters
OTenaporary Pole 0 amps
SERVICE UPGRADE D amps El CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps 0150amps 0200arrips 0____.amps OCTServioemps
ADDITIONS,REMODELS,REPAIRS,RUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switclies: ,a'0 0-30amps 31-100amps —101-200amps
Appliances: 0-30amps 31-100amps —101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @--kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwinninfingPosol OSign OSmokeDetectom Qty OTransforupers KVA E]Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plains)
Qty_volts/amps_ VALUE OF WORK$
REPAIRS/AUSCELLANEOUS
DReplace BurmfDamaged Meter Can [I Safety Inspection E]PanelChange OOHt0UG
OOther: 90AI Asc htl�dif-,'041, 64ZIe
Pernsit becrunes void if work doesinit.monewe vithm a s==d or ivork is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same W 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 of my other same or local law regulation construction or the performance of
construction.
Property Ovvners Name Wyr Phone Number
E I c ctri cal C ounp my -S'j be r STrwn ��Tr -THC Office Phone (W�4-40 ax---
Co.Address: rqq� gqf,,k _�7-rel State 5—zip
License Holder(Prin -'6 14 N A6vpfT— State Certification/Registration# "*0"7
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CITY OF ATLANTIC REACH
ROD SEMINOLE ROAM
ATLANTIC REP", FL 32233
PHONE (904) 2`17-5826
Cashier Jd: atlbcld\atibbia
Rece ipt Date: 3/9/2017 12-07-39 Pm
Receipt Nab,,: OS-72530 - -
JQh ID: 17-ELEC-3435 - 200 amps/ �o yolts/
Job ID: 17-ELEC-2435 - 200 Pa/ 2ZO yplt�/
JOb ID: 17-ELEC-3435 - 200 VV 220 olts/
Jab ID: 17-ELEC-3q3S - 200 aVa/ 220 yplt�/
101 11: 17-0-EC-3435 - 200 ..pa/ 220 vpjt,/
Amount Due: $248.00
Tende, Inf0Matl0n: Cash $248.00
Temler Type: cc
Tmder A�,t: $24S.00
Change Due: so.00