540 ROYAL PALMS DR - ELECTRIC 77 ---.
(-/ �1-'..AL..,
'° `'\\`s, CITY OF ATLANTIC BEACH
.. .,.19
r-' �� c) 800 SEMINOLE ROAD
j0r 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-3451
Job Type: ELECTRIC ONLY
Description: ELECTRIC - REPLACE METER CAN
Estimated Value: $200.00
Issue Date: 3/9/2017
Expiration Date: 9/5/2017
PROPERTY ADDRESS:
Address: 540 ROYAL PALMS DR
RE Number: 171516-0000
PROPERTY OWNER:
Name: LINDLEY TRUST, GEORGE A
Address: 1401 BEACH BLVD
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
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)1 247-5826 Fax(904)247-5845 17 - EL E e- 3 4S
V
JOB ADDRESS: 5'`' Q J:, c t\ S)ol\v -A it-.(-rotC-e— PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ,mac.) AMPS L.4 L VOLTS ( PHASE
VALUE OF WORK$ Zug Gi)
NEW SERVICE ❑ Overhead n Underground n1 Underground up Pole
0Residential(Main)Service
D0-100 amps 0101-150amps O 151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps O 101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps #of Unit Meters
:Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps ❑ amps OCT 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 @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign DSmoke Detectors Qty iiTransformers KVA ElMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS ISCELLANEOUS
eplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
❑Other:
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- - t'A k Phone Number
Electrical Company tt‘l e-C UA"` l e . Office Phone 91 k d s- Fax
Co.Address: . -;C.S_\-\0\L• b c- Q . City D. P . State FL zip 5'?ZZ`-1
License Holder (Print): �� ., - L._ v� State Certification/Registration# 'L O. v'S6'8
•
•• • older — — \C_ \ `-"'�—"'
KITTY OOK a
; _ Notary Public State of Florida Befo e this c0 ---day of 20 (�
,.� Commission#FF 920346
��� P`c My Comm.Expir n 2020
i Signature of Notary Publi- -1�
•• ,,,,, gondedttrcorgh