1697 Atlantic Beach Dr new 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 NEI(T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job 10: 17-ELEC-3466
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE , 300 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $10,000.00
Issue Date: 3/16/2017
Expiration Date: 9112/2017
PROPERTY ADDRESS:
Address: 1697 ATLANTIC BEACH DR
RENumber: None
GENERAL CONTRACrOR INFORMATION:
Name: MUNSON & BRYAN ELECTRICAL CO.
,ECO001795
Address: 3434 ST AUGUSTINE RD QAJOHNMICHAEL
SCIOLINO
Phone:
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $90.00
Trade Permit Base Fee $55.00
Total Payments: $149.00
PERAUT IS APPROVED ONLY IN ACCORDANCE WTTH ALL CITY OF ATLANTIC BEACH ORDENANCES AND THE FLORWA
BUIMING CODES.
MLAUJIMM.AL JrLHM11 �rrul"LAIZUA
CITY or ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 EJ-G�- f)4 t�6,
(904)247-5826 Fax (904)247-5845
a 7Dr
JOB ADDRESS: /bP �71441"i( Phle4 , PERMIT N
JFA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VAL IZE OF WORK 5 10 i
NEW SERVICE ED Overhead [)DUnderground Ell Underground up Pole
I Resideadial(Main)Service
110-100 amps J101-150anips CI 151-200turps W�-3--O -mps of Meters
1;Commercial(Maln)Service
i 10-100 amps F1101-150arrips 0 15 1-200amps I—amps I jCT Service_mps
Conductor Type_ Sin_
1 iMulti-Family(Main)Service
1 10-100 amps �.1101-150amps 115 1-200amps i I amps of Unit Meters
�Temporary Pole I I—amps
SERVICE UPGRADE I 1—grups t I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCMMS,ETC.)
11100arrips L1150amps 1.1200amps 1.1 amps DCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS.ACCESSORY STRUCTIlRES,ETC.
Outlets/Switches: —0-30amps ______�1-100amps —101-200amps
Appliances: —0-30amps 31-100amps —101-200amps
A/C Circuits: -----0-60amps
Heat Circuits: # circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
SwimmingPool rISign 11 Smoke Detectors_Qty 1Tnensfbmxers_KVA IlMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volwamps— VALUEOFWOKKS—
REPAIRSMSCELLANEOUS
I Panel Change 00HtoU
Replace Barm/Damaged Mawr Can I, Safety Inspection
��ZY
;Other: It)
Pamir becarsas void if work donna commeom within a sa month period or work Is suspended or abandoned fbr six marths. I y card ty that I have
read thIspi,ficalon and know thentne to be true end omen, All provIllonlollawstol ordInamagoyming thisworkwill compiled with whall,
specified or not. The permit does not give authority to violso,the provisions of my other state or 11 cal law ragoation cTn or the perfonnonte of
coronation.
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e
Property Owen Nare Phon
Electrical Company Moeoq 41d ��20 Officel?h4e sj.41,44-q�jax W61-04
Co. Address: Wyolf"44641� V City -5'-)r ----"State-F71zjp3Z;W7
License Holder(print): Tel'i se�-p "4.0 /-7 ��State Cc�rtificstion/Rcgistrafion 4
Notarized Signature off L Itc-en-se-Nuolldje—r -1
jcs!� dUY,,CAl.1CHC.N swornAri subscribedbefo methis dayof rv,(� 20-EL
F"5
&Pin,'1*14,1019 Signature of Notary Ic
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ME'
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ATLANTIC BEACH
PERMIT RECEIPT
March 10, 2017
PERMIT DESCRIPTION: ELECTRIC-NEW SERVICE, 300 AMPS,240 VOLTS,SINGLE PHASE
PERMIT NUMBER: 17-ELEC-3466
ADDRESS: 1697 ATLANTIC BEACH DR
CITY OF ATLAHTIC BEACH
OWNER: 800 SEMORE RD
ATIAWIC BEAC,R.32233
State Elec DBPR Surcharge $2.00 0316/2017 (19:03:00
CREDIT CAM
State Elec DCA Surcharge $2.00 NC SALE
CARD )D=KW0451
IWDICE 0001
New Single Family Electrical $90.00 SEq 0001
W#: 600519
Approyal C& 34009K -
Trade Permit Base Fee $55.00 fiibtWW: M31A
fte: Online
Tax kwunt: $040 -
Card 0* M -
Totals: $149.00 SAUE AMOUNT $1491
CUSTOMR COPY