87 W 4TH ST DUPLIX A & B - NEW SERVICE 2 METERS f-
S CITY OF ATLANTIC BEACH
„pr., w , 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
A-0.1-69%r-
ELECTRICAL
INSPECTION PHONE LINE 247-5814
A-JSi1Jr
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3877
Job Type: ELECTRIC ONLY
Description: ELECTRIC - DUPLIX 2 METERS, 150 AMPS EACH, 240
VOLTS EACH, SINGLE PHASE
Estimated Value: $6,500.00
Issue Date: 5/3/2017
Expiration Date: 10/30/2017
PROPERTY ADDRESS:
Address: 87 W 4TH ST A
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: ELITE ELECTRICAL SERVICES LLC
Michael Charles Schweitzer, EC13005843
Address: 11611 CAPE HORN AVE QA MICHAEL CHARLES
SCHWEITZER
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Multifamily Electrical $100.00
Trade Permit Base Fee $55.00
Total Payments: $159.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUIl MING(:ODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
h(904)247-5826 Fax(904)247-5845 I 7 -ELEC-3 877
JOB ADDRESS:
r
� l'l4 - PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ,-.0 AMPS Z eVOLTS PHASE
VALUE OF WORK4�&'
NEW SERVICE ❑ Overhead Xr Underground J Underground up Pole
OResidential(Main)Service
00-100 amps x101-150amps 0151-200amps 0 amps #of Meters
•
0 Commercial(Main Service
00-100 amps ❑101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
Multi-Family(Main)Service
00-100 amps 1 01-150amps 0151-200amps 0 amps #ofUnitMeters E.---
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors Qty OTransformers KVA ❑Motors hp
FERE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged� Meter Can [ISafety Inspection OPanel Change 00H to UG
❑Other: /'" ( P/ /50 a /(/' . 4
•
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 1 5 Phone Number
Electrical Company r re /&7'(�Ca( 'i'/�/Ce)Office Phone Fax
Co.Address: f( 7 �' + , e. < City State f/- Zip ,71V
License Holder(Print): / l' �1i0 ( Stat- -_ ification/Registration# IC'POW,
N';.. -:; - ,i#=fin older i� � r0
:: I .
;�, ,u ,,,: MY COMMISSION�FF 924951 20_f
"" EXPIRES:October 6,2019 • Before me this day o 1,A • J
'Azov Bonded Thru Notay Public Underwriters
Signature of Notary Public IM =
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