1137 Violet St new elec permit (2)CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NE)CT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID:
17-ELEC-3462
Job Type:
ELECTRIC ONLY
Description:
ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value:
Issue Date:
3/10/2017
Expiration Date:
9/6/2017
PROPERTY ADDRESS:
Address:
1137 VIOLET ST
RE Number:
None
GENERAL CONTRACTOR INFORMATION:
Name: ELITE ELECTRICAL SERVICES LLC
Michael Charles Schweitzer, EC13005843
address: 11611 CAPE HORN AVE CIA MICHAEL CHARLES
SCHWEITZER
rnone: -
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 BECH
800 Seminole Rd, Atlantic Beach,FL 32233��'�
.,,Ph (904) 247-5826 Fax(904)247-5845 Y'
JOB ADDRESS:
JEA INFORMATION REQUIRED ON ALL PERMITS
NEW SERVICE ❑ Overhead
Underground
❑Residential (Main) Service
110-100 amps 0101-150amps
X151-200amps
❑Commercial (Main) Service
[]____,amps
00-100 amps ❑101-150amps
❑151-200amps
Conductor Type
Sim
❑Multi -Family (Main) Service
00-100 amps ❑101-150amps
0151-200amps
❑Temporary Pole ❑ amps
AMPS g VOLTS
PHASE
�K�
❑J Underground up Pole
❑ amps
# of Meters
[]____,amps
OCT Service amps
❑ amps # of Unit Meters
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps ❑200amps Damps ❑CT 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 []Smoke Detectors Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Burrt/Damaged Meter Can OSafety Inspection ❑Panel Change ❑OH to UG
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
constrlelion.
Co. Address:
License Holder (Print):
Notarized Signature of License Holder
row csmtESFcscea efore me this day of
MY COMMIS�IOYYfi 1",
(I EXPIRES oemna,s ams Signature of Notary Publio
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Phone Number
-Office
Office Phoneyrv' Q ax
City State FL Zip p
itate Certification/Registration #