1745 Atlantic Beach Dr 16-ELEC-995 new service permit �s f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-995
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE
Estimated Value: $12,000.00
Issue Date: 4/28/2016
Expiration Date: 10/25/2016
PROPERTY ADDRESS:
Address: 1745 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: ELITE ELECTRICAL SERVICES LLC
Address: 11611 CAPE HORN AVE QA MICHAEL CHARLES
SCHWEITZER
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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
/r7g-/ Ph(904) 247- 826 Fax (904 247-5845 ILO —ELE 0 - 995
/ / ��� /�JOB ADDRESS: !�l���(� L����'! PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS C--0 AMPS Z OLTS / PHASE
VALUE OF WORK$ /I w D
NEW SERVICE ❑ Overhead ,K Underground I U Underground up Pole
❑Residential (Main) Service
0 0-100 amps ❑101-150amps 151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑O-100 amps [;101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole LI amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100 amps ❑150amps 0200amps = 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
Li Swimming Pool ❑ Sign ❑Smoke Detectors Qty [Transformers KVA =Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
!Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH 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 Phone Number
Electrical Company 27(le / I '2 cq( '/$ G6- Office Phone 007- (Si Fax
Co.Address: ll�// 44? *7 k City,.r!�C V StateA Zip -3,'' t i
License Holder(Print): Ax- ���//U(veC/ tate Certification/Registration# AO r iry3
Notarized Signature of License Holder ..07/
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7 �2 4l 2
Rc�frwP me this ��j day oft, • ►�I� 20
t .y' MYTCAMMISSIONFF92aR n�tureofNotar Public 7 ,
a: EXPIRES:October 6, g Notary"'?j ey;�:l Bonded Thru Notary Pubic Underwriter
LIST OF INSPECTIONS
SEQ
ID SCHEDULED DATE COMPLETED DATE TYPE INSPECTOR RESULT REMARKS
8/11/2016 8/4/2016 ELECTRICAL EARLY
POWER Mike Jones APPROVED
Notes:
Steve
510-1519
8/14/2017 8/14/2017 ELECTRICAL FINAL Mike Jones FAILED NO FEE
Notes:
north wall of kitchen countertop, right hand side, 2 receptacle showing hot and ground reversed, they would not trip when tested.
8/17/2017 8/17/2017 ELECTRICAL FINAL Mike Jones PASSED
Notes:
Permit Number: 16-ELEC-995
Site Address: 1745 ATLANTIC BEACH DR
City, State Zip Code: Atlantic Beach, Fl 32233
Applied: 4/28/2016 Approved: 4/28/2016
Issued: 4/28/2016
Parent Permit: 15-SFR-2498-05
Parent Project:
Applicant: <NONE>
Owner: <NONE>
Contractor: ELITE ELECTRICAL SERVICES LLC
Description: ELECTRIC - NEW SERVICE
Finaled: 8/17/2017
Status: FINALED
Details:
Printed: Monday, 17 August, 2020 1 of 1
Permit Inspections
City of Atlantic Beach