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960 Sailfish Dr elec permit rj y11 Pj, 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 JOB INFORMATION: Job ID: 17-ELEC-3753 .Job Type: ELECTRIC ONLY Description: 100 amps/240 volts/single phase - change panel & install water heater Estimated Value: Issue Date: 4/12/2017 Expiration Date: 10/9/2017 PROPERTY ADDRESS: Address: 960 SAILFISH DR RE Number: 171168-0000 PROPERTY OWNER: Name: BURT, ARTHUR W Address: 960 SAILFISH DR GENERAL CONTRACTOR INFORMATION: Name: AMERICAN ELECTRICAL CONTRACTOR Earl W. Frick,EC13007311 Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK Phone: - FEES: Electrical Appliances $2.00 Electrical Service Change $0.00 State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $61.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 �'{- E(_C_'3"}�3 V JOB ADDRESS: sa 1 1 C ISIS 'p'( PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS 100 AMPS 01 0 VOLTS PHASE VALUE OF WORK$ NEW SERVICEOverhead ❑ Underground D Underground up Pole ❑Residential ain)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps At of Meters ❑Commercial(Main)Service LIO-100 amps ❑101-150amps F 151-200amps []—amps ❑CT Serviceamps Conductor Type Size ❑Multi-Family(Main)Service 00-100 amps 0101-150amps ❑151-200amps F amps #of Unit Meters ❑Temporary Pole ❑_amps SERVICE UPGRADE [Iamps CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑_amps OCT Service_amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switchm: 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 ❑Motors_hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORK$ REPADIS/MISCELLANEOUS ❑Replace Bunt/Damaged Meter Can 7Safety Inspectionanel Change OOH to UG DOther Aleve GAL koa hC,v Permit becomes void if work does not ocen nence within a six month period orwork is suspended or abandoned fm six months. I hereby certify then I hove m read this application and know the sae to be ave and correct. All provisions oflaws and ordinances governing this work will be complied with whether specified m nor The permit does not give authority to violate the provisions of any other state m local low reaulstion construction or the performance of construction. Propeny Owners Nam'ne tlrlt'ay� 1aP.l')" Phone NNu_mber Row3o3 ) 224 Electrical Company R�A6(a4b1e( "(C I COF14 Office Phone tt/My)'7�77aFax Co.Address: OS— 2 ' y ]YL19 Stateja _Zap ZZOO License Holder(Print): �� C St to CeRification/Registration# bD13 Notarized Signature Uicense Holder n"IROTARY PUBLIC Sworn and and b fore me 's w day of n 20j/ o STATE OF FLORIDA Lemma 000seaza VSignature of Notary blit Esplfea V212021 f ATLANTIC BEACH PERMIT RECEIPT r April 12, 2017 PERMIT DESCRIPTION: 100 amps/240 volts/single phase-change panel&install water heater PERMIT NUMBER: 17-ELEC-3753 ADDRESS:960 SAILFISH DR OWNER: CITY OF ATLANTIC BEACH 800 SEMINOLE RD Electrical Appliances $2.00 ATLANTIC BEAC,R 3833 04122017 11,51:21 Electrical Service Change $0.00 CREDIT CARD MC SALE CARD: XXXV00X%%%%1482 State Elec DBPR Surcharge $2.00 INVOICE 0003 SEQ P: 0002 State ELec DCA Surcharge $2.00 Batch P, 000538 Approval Code: 319214 Entry KtW.. M3aa1 Trade Permit Base Fee $55.00 Mode: Oft Tax Arrant: $BDO Det Cade: Cad Code: M Totals: $61.00 SALE AMOUNT %I.M CUSTOMER COPY Qp,\O p,QR 122p11 BEpGH G