300 Belvedere St electrical service upgrade permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOSINFORMATION:
Job ID: 17-ELEC-3748
Job Type: ELECTRIC ONLY
Description: 200 amps/240 volts/single phase - service upgrade to 200
amps
Estimated Value: $1,500.00
Issue Date: 4/112/20117
Expiration Date: 10/9/2017
PROPERTY ADDRESS:
Address: 300 BELVEDERE ST
RE-Number: 170703-0314
PROPERTY OWNER:
Name: WARNER, CAROLYN ELLIS AND JOHN,
Address: 300 BELVEDERE ST
GENERAL CONTRACTOR INFORMATION:
Name: VOLT EDGE ELECTRIC INC.
Daniel Shane Paskey,ER13014971
Address: P.O. Box 24091
Phone: 904-386-9782
FEES:
Electrical Service Change $50.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $109.00
PERNUff IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904) 247-5845 6L6 L-
JOB ADDRESS: &,1e&-jej_� �9-[. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS -ZOO AMPS ;?/(/ VOLTS PHASE
VALUEOFWORK$ /fOo'
NEW SERVICE 0 Overhead [Ulu.derground [::V Underground up Pole
ElAesidential(Main)Service
00-100 amps E1101-150amps 0 151-200amps D amps of Meters
OCommercial(Main)Service
110-100amps 0101-150amps 11 151-200amps 0 steps EICTServicemps;
Conductor Type_ Sin
DMulti-Family(Main)Se"ice
DO-100 amps 0101-150amps E1151-200humps; 0--amps #of Unit Meters
OTemporary Pole 0_____amps
SERVICE UPGRADE V/Zoo maps 0 CT Service_maps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps 0150amps 0200amps 0 maps 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
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[]Swimming Pool 0 Sign DSmoke Detectors_Qty OTransformers KVA CMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—voltstamps— VALUE OF WORK S
REPAIRSAVHSCELLANEOUS
DReplace Bumt/Damaged Meter Can []Safety Inspection DPanel Change OOHtoUG
OOther:
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
mad this application and know the sarm,to be one and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give amhority to violate the provisions of my other state or local law regulation construction or the perfounance of
construed..
Property OwnersName eziwolvv 9//Is Phone Numbc('!O Y) 7�Z- 71V�_
Electrical Company &Wa�jc Office Phoneo?""AfaX
Co.Address: City jax State-u—zip �27 il
License Holder(Print): llmjf.�l 45Le-v — State CertificationfRegistration# j3&jz4q:7j
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EXPIRES-0claNN21.20M re me this
=j Signature of Notary Public vios."
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