275 SHERRY DR - NEW ELECTRICAL SERVICE AIR/
Cl
� ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
•
ae,drirPh (904)247-5826 Fax (904)247-5845
JOB ADDRESS: 2 ePERPERMITT# 4-2(mt
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2}4) VOLTS ! PHASE
Oa
VALUE OF WORK$Ared. ---
•
NEW SEF VICE ❑ Overhead E Underground aT'Inderground up Pole
•
1 Residential(Main)Service
.10-100 amps _i 101-150amps gr111-200amps _i amps #of Meters
❑Commercial(Main)Service
❑O-100 amps 1:101-150amps 151-200amps G amps . ICT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
DO-100 amps 11101-150amps "=i 151-200amps ❑ amps #of Unit Meters
❑Temporary Pole Ll amps
SERVICE UPGRADE CI amps L CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
,=_,100 amps .- 150amps :_:200amps 1= amps L)CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-I00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
lJSwimming Pool Sign .Smoke Detectors_Qty I:Transformers KVA Motors hp
!.
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection C Panel Change 1101-I to UG
[1Other:
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 docs not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name d(S.L S Phone Number 901-591-79'W
Electrical Company A ` (1.2. Office Phon ,y..--2X.,2_22) Fax .2 -7/
Co.Address: ) 4 City�4fi,.,.�J� States Zip e 3 '
License Holder(Print): 14~ L 4 //"4 ( 'ç State Certification/Registration#
oni 4, tgna . n, icense older 9'‘101040' e
Notary Public-State of FbrlCa 20 dayof
`❑ Commission•FF 230355 Sworn and subscribed before m is
1'•.f My Comm.Expires Jun 1.2019
r.:.ir,''r Borden throuip National NON Assn. Signature of Notary Public
,; .\.rel j
-s J CITY OF ATLANTIC BEACH
t' 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
N ~° INSPECTION PHONE LINE 247-5814
��J;31>~ ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3083
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS. 240 VOLTS,
SINGLE PHASE
Estimated Value:
Issue Date: 1/26/2017
Expiration Date: 7/25/2017
PROPERTY ADDRESS:
Address: 275 SHERRY DR
RE Number: 169802-0000
PROPERTY OWNER:
Name: BCEL 5 LLC
Address: 7563 Philips HWY STE 109
GENERAL CONTRACTOR INFORMATION:
Name: ALLSTATE ELECTRICAL CTR INC.
, EC0000113
Address: P 0 BOX 550617 QA JAMES L. WILLIAMS
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
Ill ILDING CODES.
eN
•
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5845
JOB ADDRESS: VS. A Eery 2) PERMIT#4-1‘,45‘
•
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS/f40 VOLTS / PHASE
ao
VALUE OF WORK$ -VQ
NEW SERVICE l rl Overhead 0 Underground ❑J Underground up Pole
.Residential(Main)Service
El 0-100 amps C 101-l 50amps E151-200amps 0 amps #of Meters
LI Commercial (Main) Service
ri amps :101-150amps E 151-200amps 0 amps OCT Service amps
Conductor Type Size
riMulti-Family(Main) Service
--i0-100 amps 1101-150amps 151-200amps El amps #of Unit Meters
temporary Pole i) 'O amps
SERVICE UPGRADE CI amps U_ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 11 150amps _:200amps `._ amps JCT 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
;Swimming Pool Sign :Smoke Detectors Qty ::Transformers KVA _.Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
11 Replace Burnt/Damaged Meter Can :Safety Inspection :!Panel Change OOH to UG
El 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 ILIE�/ -5-
LLC- Phone Number 31/-6.,/-7,1,47
Electrical CompanyAfriii..... &tit Office Phone '-2,9L-Z. Fax -2,tif&S'7/
Co.Address: 7yy7 saS £a. City .4.....Jlv_. State Zip4 7%.
License Holder riijtl: _ -Lh9 015 L `!/.l7/i/.tX- State Certification/Registration # E- "3
rize4455 r�lti�ti l Holder 9ici*vi ''
*•''.• .; ,;arnmisslon M FF 290355
• I my Comm.Expires Jun I.2019 Sworn and subscribed befor this .23ed of 20)7
•'4^a Borded Brough tiadom art
-- <<w— Signature of Notary Public