Untitled (17) CITY OF ATLANTIC BEACH, FLORIDA
Approved byI APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
3019Q7
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
Y /:--iC�G ezi-�
C � r-1 '' _ (7,---/ V tASTER ELECTRICIAN SIGNATURE JOURNEYMAN
ELECTRICAL/ FIRM: ���, A ��M
NAME C� S�}�Q` �' e-C.--—e- ADDRESS: sKIA Q1'1 \ C\1\canis kc. C?\Uc, - RFD BOX
BLDG.SIZE GC)X I 6 BETWEEN:
RES. ( 1 APT. ( 1 COMM.(Vi/ PUBLIC ( ) INDUS. ( 1 NEW ( 1 OLD (‘-'1 REW. ( 1
ADDITION ( 1 TRAILER ( 1 TEMP. ( ) SIGNS ( 1 SQ. FT.
FEE
SERVICE: NEW ( ) INCREASE ( ) REPAIR (,-)-
CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( )
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE 3�S AMPS -., PH t W c)0 VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31.100 AMPS.
SWITCHES 3
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. • OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1 1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS
—
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. _KVA
NO. NEON TRANSF. NO. VA. J+ MA. I MOTOR SIZE SWITCH FLASHER
EACH SIGN _ t r
I( Il FORWARDED
$ -
TOTAL FEES
FF
801OVHINOO 1Vli3N39- N39V- 113NMO
SS38a0V HHOI 3N00 9N138)IHOM
( ) 113H10 ( ) 33NON3d3NO ( ) V3H
( ) 'd003 AV13 ( ) H3MOd'V 1HDI1 'Vld ( 1 A1I3 :S311Il11f1
01iVMHOd 33d
VAN 'ON VAN 'ON
'A 009 1:13AO 'A 009 IJ3ONf1 :S1131A1iOdSNVl11
SdWV 110A 'M'N 'ON Ii01V113N39
dWV SHd 110A 'd'H 'ON Id010W'DIA
SHd SdNIV 'ON SHd SdWV 'ON 3dA11131A1110ASNVH1
'I1id 'Ilid :Sli3a13M
Sf103NV1133SIW
SNDIS H38Wf1N 133NN03311
SNDIS H38Wf1N 133NN03S10 SdNIV1 1N33S38Of11d
HOIIMS 31A1I1 SdWV1 1N33S3ONVONI
1
HV3
II3HSV1d H31IMS 3ZIS 1i0101N I 'VW '3SNVZi1 1 'VA 'ON N91S NO3N
'ON
SNDIS
$ SHd 39V11OA 'd'H 'ON SHd 39V110A 'd'H Sa010W