277 BEACH AVE GARAGE B - NEW SERVICE ,�� Y `S CITY OF ATLANTIC BEACH
A j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'V:/-03319�
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3881
Job Type: ELECTRIC ONLY
Description: GARAGE B ELECTRIC - NEW SERVICE 200 AMPS, 240
VOLTS, SINGLE PHASE
Estimated Value:
Issue Date: 5/3/2017
Expiration Date: 10/30/2017
PROPERTY ADDRESS:
Address: 277 BEACH AVE
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: DESTINY ELECTRIC
Shane D. Schery, EC13003216
Address: 2850 CIRCLE RIDGE RD QA SHANE D. SCHERY
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Service Change $50.00
Trade Permit Base Fee $55.00
Total Payments: $109.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH All. CITY OF .ATLANTIC BEACH ORDINANCES AND TUE FLORIDA
BUILDING CODES.
4
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 17- -�r - 5881
JOB ADDRESS: 277 I) Oaticht AU Art. I(:1i.+Fc 32233 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 241) AMPS 20 VOLTS / PHASE
-IF cycii I
VALUE OF WORK$ 5 d L'
NEW SERVICE Overhead ❑ Underground J Underground up Pole
[]Residential(Main)Service
00-100 amps 0101-150amps [341-200amps 0 amps #of Meters
0 Commercial(Main)Service •
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
0 Multi-Family(Main)Service
00-100 amps G01-150amps 0151-200amps 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: 3g 0-30amps 31-100amps 101-200amps
Appliances: 2. 0-30amps / 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: 1 # circuits @ 5 kw
Number of Lighting Outlets, Including Fixtures: /Z
OTHER ELECTRICAL PROJECTS
[]Swimming Pool ❑ Sign 0 Smoke Detectors_Qty OTransformers KVA ❑Mofors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can []Safety Inspection ❑Panel Change OOH to UG
❑Other:
•
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 PW (4 1ti)J4t T Phone Number N11- 422- j3t1p
Electrical Company Q inrvi y L Ictrit l( Offi•
ce Phone QO u-213-31A 7 Fax g04'�915 t5
Co.Address: 2/50 CIRC..(5 ROW' DR . City 0RAd6(.r pow State_a.,__Zip 3ZOPr
License Holder(Print): c4. AQ(.5 D. S C(•((i-1 • State Certification/Registration# E.0 13W 3'Z I toed. iatrr�:� e Holder C
1., 70NI GINDLESPERGER� r. ;,_ MY coh1NISSION#FF 924951 Before me this 3 dayo . .1' • aI� . o ` 7�a EXPIRES.October 6,2019�, e) .�
r' Bonded Thru ktay Public Uncewters ,S Signature of Notary Public