381 MAIN ST - ELECTRIC RE-WIRE i P ✓�1
�" f CITY OF ATLANTIC BEACH
) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'...t fi.J
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3852
Job Type: ELECTRIC ONLY
Description: ELECTRIC - RE WIRE
Estimated Value: $2,500.00
Issue Date: 4/27/2017
Expiration Date: 10/24/2017
PROPERTY ADDRESS:
Address: 381 MAIN ST
RE Number: 170903-000.0
PROPERTY OWNER:
Name: NOEL, MARGARET H
Address: 381 MAIN ST
GENERAL CONTRACTOR INFORMATION:
Name: BARKOSKIE ELECTRICAL SERVICE,
James T. Hughes, EC13002387
Address: 48 S PENMAN RD QA JAMES T. HUGHES
Phone: 904-246-4731
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 17 -G. e•- ' 36 s Z
JOB ADDRESS: 381 M Al N "...-r PERMIT# 1'7— 36Z'7
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS Z VOLTS I PHASE
VALUE OF WORK$ 252
NEW SERVICE D Overhead ❑ Underground 01 Underground up Pole
Residential(Main)Service
0-100 amps 1 !101-150amps .151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps i i 101-150amps i ;15I-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 i amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.) ••
100 amps ! i I50amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1 Z 0-30amps 31-100amps 101-200amps
folAppliances: I 0-30amps 31-100amps 101-200amps
I
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: fp
OTHER ELECTRICAL PROJECTS
Swimming Pool ! i Sign ! ISmoke Detectors Qty 'Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged1Meter Can Safety Inspection Panel Change OH to UG
Other: M l SGtaC PT 5- 7tz-- °DEZ
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 M 1 4T A/Oez. Phone Number
Electrical Company''-1051'- C ELEc'1TL4C- Office Phone? 44f7$ / Fax Ze , 801-7
Co. Address: q%,--.3 St-4-e x-AvE City J&le-Tx-4 . State � Zip 3 Z2,St)
License Holder(Print): .141146"3 A' - State Certification/Registration 13 0a2-3 257
Notarized Signature of License Holder / 1 ' , ''F••'.
, -• CE: a p day of ( 20/ 7
�, .��� ` �':�CE, � Before me this
',3f V,.• ,jsef,..
~fes' ==i Signature of Notary Public 711'tez± — ::_______
i