1720 PARK TER E - ELECTRIC S r\,\
�" '' `s� CITY OF ATLANTIC BEACH
''- ` f 800 SEMINOLE ROAD
jIii
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-3452
Job Type: ELECTRIC ONLY
Description: ELECTRIC - GAZEBO
Estimated Value: $240.00
Issue Date: 3/9/2017
Expiration Date: 9/5/2017
PROPERTY ADDRESS:
Address: 1720 E PARK TER
RE Number: 172020-0396
PROPERTY OWNER:
Name: FOSTER, MIKEL J & JOAN TRUST, *
Address: 1720 PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: RIVER CITY ELECTRIC
John Rex Cook, EC0000568
Address: 2825 HOLLYBAY RD QA JOHN REX COOK
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
Switch Outlets $1.20
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
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
Ph(904)247-5826 Fax (904)247-5845 + €_LCC_3 4� Z
JOB ADDRESS: 1 -1 2 c \z ( z : L, C C.� PERMIT# I 5=IoZ3
JEA INFORMATION REQUIRED ON ALL PERMITS 2*(;) AMPS VOLTS PHASE
VALUE OF WORK S Z,rt-3, ,
NEW SERVICE ❑ Overhead P Underground nJ Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps El amps OCT 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 ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps 0 amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1 0-3 Damps 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: 4
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty Transformers KVA U Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK
REPAiRS/M1SCELLANEOUS
❑Replace``Burnt/Damaged Meter Can ❑Safety Inspection ['Panel Change ❑OH to UG
,'Other: Wur� t;Z— • ci��-\C0
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 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 any other state or local law regulation construction or the performance of
construction. `,
Property Owners Name `�c- o f APhone Number
Electrical Company CW(:-:— \�_��c_k Office Phone f<<`GC/ Fax
Co. Address: c713? S L U L I ---1 City D •? State FL4 Zip 31 zz
License Holder (Print): '- ^ CLState Certification/Registration# —C U 5'6�
Notarized S' a • • der
KITTY COOK
=� v P�°�i;-; Notary Public-State of Floridaefo this COI— day of c.)\-- 20 (�
t Commission•FF 920346 :.
; My Comm.Expires Jan 15,2020 ignature of Notary Public L( \ `I
h° Bonded tlaouoh National Notary Assn.