543 PELICAN KEY - ELECTRIC J\J:r
•� 1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
4't 9f
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3755
Job Type: ELECTRIC ONLY
Description: ELECTRIC - KITCHEN REMODEL 6 FIXTURES
Estimated Value: $1,500.00
Issue Date: 4/12/2017
Expiration Date: 10/9/2017
PROPERTY ADDRESS:
Address: 543 PELICAN KEY
RE Number: 172027-5582
PROPERTY OWNER:
Name: URBAN, STEPHEN
Address: 543 PELICAN KEY
GENERAL CONTRACTOR INFORMATION:
Name: ELECTRIC PLUS
William F. Shrewsbury, ER1302839
Address: 11199 LAKE BLUFF RD QA WILLIAM SHREWSBURY
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $3.60
Trade Permit Base Fee $55.00
Total Payments: $62.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
III II.DING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 l 7-ELEC.-37
JOB ADDRESS: 5 LI 3 'De t Co. ✓1 e .( PERMIT# g 17-QQa r
35-06
JEA INFORMATION REQUIRED ON ALL PERMITS D-CDC) AMPS )-.(--1(..)_VOLTS / PHASE
VALUE OF WORK$ / 5 C 0
NEW SERVICE ❑ Overhead El Underground FT Underground up Pole
['Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps #of Meters
O Commercial(Main)Service •
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps #of Unit Meters
['Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-2O0amps
Appliances: 0-30amps 31-100amps 101-2O0amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors Qty OTransformers KVA OMos hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can OSafety Inspection OPanel Change OOH to UG
❑Other: kt*ey► ElecIYtca I ;sc retvIndel
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
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name ' U1rbgV1 Phone Number S $T/q
Electrical Company El eart ( i 1 U S ''Vt C. Office Phone 'go-7136 Fax
Co.Address: I( Ct a La kP (S1.U T� t• City ja)C State cit.Zit3 7
License Holder (Print): WI l k 10.v1 � 519u - S =te Ce 'fication/Registration#Ee/33/ '3 9
•
Note r,>. elder ' I '�'�
.•,Y'�y., TONI GIND ESPERGER �—j
am. Y my comMISSION it FF 524951°'" EXPIRES:October 6,2019 Before me this i 7 •ay OrA Millt r 21 J/
.0: Bonded Thru Wary Pub G Unhenvntets lir4 •
----�` Signature of Notary Public _ e.........