1660 Beach Ave #5 elec safety permit CITY OF ATLANTIC BEACH
Y 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
>i U;OD9 .
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-ELEC-3611
Job Type: ELECTRIC ONLY
Description: 150 amps/240 volts/single phase
Estimated Value:
Issue Date: 3/29/2017
Expiration Date: 9/25/2017
PROPERTY ADDRESS:
Address: 1660 BEACH AVE UNIT#5
RE Number: 169576-0100
PROPERTY OWNER:
Name: WELLS FARGO
Address: 7 HOME CAMPUS
GENERAL CONTRACTOR INFORMATION:
Name: JAX ELECTRICAL CONTRACTING INC
Paul Carter Keane,EC13006936
Address: 1839 LANE AVE SUITE 110 PAUL KEANE
Phone: -
FEES:
Electrical Repairs $35.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLOMA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JODADDRESS: -1660 Sexlr Ave, t 5 PERMTT#
JEA INFORMATION REQUIRED ON ALL PERMITSISa AMPS 240 VOLTS I PHASE
VALUE OF WORK$
NEWSERVICE El Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps 0101-150amps D151-200amps ❑ amps ❑CT 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 11-----amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ❑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 EVA ❑Merrs_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAILS/IMSCELLANEOUS
❑Replace Bumt/Damaged Meter Can afdy Inspection ❑Panel Change ❑OH 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 certifythat I have
read this application and know the same to be true end correct All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The pemdt does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. ^ r
Property Owners Name ��� C o a� LJ a��2 rArPhone Number
Electrical Company -I `+��rar-'1.n f Office Phone-YF-?"FY - Fax
Co.Address: 2-017 Lisle A'' City 7 r V I o n oAp State Zip,3 22/O
License Holder(Print): c,-e. State ertific tion/Registration#EC 13006936
Holder
JENNIFER"NSION
..I W unlssloi#sx uaeea Before me this aCl� day of A&&-c .,V� 20 1 �-
E%%R6:n�4 W2T•Aal
•••k°' "v"a0` Signature of Notary Public O/— nNILA4I