1305 Seminole Rd - Permit ERES18-0136 ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph (904)247-5826 Fax(904)247-5845 �j
JOB ADDRESS: 1305 SEMINOLE ROAD PERMIT# E I� 18 -0137
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS VOLTS PHASE
VALUE OF WORK$ 150.00
NEW SERVICE D Overhead ❑ Underground n1 Underground up Pole
LJResidential(Main)Service
L0-100 amps ::;101-150amps '151-200amps _____amps #of Meters
C Commercial(Main) Service
Ll 0-100 amps 7.101-150amps 151-200amps Li amps ..J CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps C 101-150amps L 151-200amps f`! amps #of Unit Meters__._._
I-Temporary Pole f I amps
SERVICE UPGRADE U amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps U1200amps J 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
U Swimming Pool 0 Sign 0 Smoke Detectors Qty L Transformers KVA LI Motors._._ _hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
iiReplace Burnt/Damaged Meter Can El Safety Inspection Panel Change 11OH to UG
0 Other: Fuse A/C properly
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 Bob Wilson Phone Number(859)539-4164
Electrical Company American Electrical Contracting,Inc Office Phone 904-737-7770 Fax 904-737-1099
Co.Address: 5065 St. Augustine Rd. Ste 3 City Jacksonville State FL Zip
License Holder(Print): Earl Frick tate C 'ficatio ' -gistr. ':n#EC13007311
Notarized Signature off icense Holder .
Anna-M.
`v ' NOTARY PUBLIC Sworn and subscribed be ore m this ,V,(N da - /-/� 20/k
7'14P"'• -+STATE OF FLORIDA
�+•%, 'Comm#GG068924 Signature of Notary Public /vv, t
Expires 2/2/2021