307 BEACH AVE - ELECTRIC RELOCATE ,. /. , ..,()
.)' : . . , :,
S f CITY OF ATLANTIC BEACH
t 4k 1.r., 800 SEMINOLE ROAD
KV < s" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3786
Job Type: ELECTRIC ONLY
Description: 200 amps/240 volts/single phase - relocate existing service
Estimated Value: $2,500.00
Issue Date: 4/19/2017
Expiration Date: 10/16/2017
PROPERTY ADDRESS:
Address: 307 BEACH AVE (OF) MAIN
RE Number: 170185-0000
PROPERTY OWNER:
Name: POST ET AL TRUST, MICHAEL J
Address: 307 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: DESTINY ELECTRIC
Shane D. Schery, EC13003216
Address: 2850 CIRCLE RIDGE RD QA SHANE D. SCHERY
Phone: - -
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: $109.00
P4:RMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
Ill ILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 19- ELC_39-6(0
JOB ADDRESS: '3 C ri, [3 LAcil f U . PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS ?CO VOLTS / PHASE
VALUE OF WORK$ 2 , JJU
NEW SERVICE ❑ Overhead ❑ Underground I-4 Underground up Pole
OResidential(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
0 Commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
0 Multi-Family(Main)Service
D0-100 amps ❑101-150amps 0 151-200amps 0 amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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
0 Swimming Pool 0 Sign El Smoke Detectors Qty OTransformers KVA 0 Moliirs hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[Replace Burnt/Damaged Meter Can ❑Safety Inspection [Panel Change OOH to UG
pp
[Other: f a,0 rYISTI Setr.-V CC
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 Lr Po sr 770—3q' V t/( / Phone Number
Electrical Company 013-STlov h ta—T-R,tC. Office Phone cog•Zia-3Z'i8 Fax
Co.Address: 2.110 CREW R0417- ) WLs City 0044 LT PA.-1l State FL Zip 3Z0(95
License Holder(Print): 51.1AA1(37 15 -S CUL312✓ State Certification/Registration# 1 C l30D3Zl 6
Notarised,S'i atp'e of(icegCP older ftt,_ �/�r
„:"G,yh,:. JENNIFER JOHNSTON 1,, ..1-11-- day of 1�(l 20 /�
MY COMMISSION#GG 042984 Before me this
_'°"' ' ' EXPIRES:October 2T,2020
':, Bonded Thru Notary Public Underwriters Signature of Notary Public
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