262 2ND ST - NEW UNDERGROUND SERVICE CITY OF ATLANTIC BEACH
V
- 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: 15-ELEC-1766
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - NEW UNDERGROUND SERVICE
Estimated Value: $15,130.00
Issue Date: 7/23/2015
Expiration Date: 1/19/2016
PROPERTY ADDRESS:
Address: 262 2ND ST
RE Number: 172542-0000
PROPERTY OWNER:
Name: SMITH III,CARL HOLT & JULIA L, *
Address: 4670 BADEN LN
GENERAL CONTRACTOR INFORMATION:
Name: UNITED ELECTRIC COMPANY OF
Address: 5716 ST AUGUSTINE RD QA JOHN E GRIFFIN JR
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $120.00
Trade Permit Base Fee $55.00
Total Payments: $179.00
PERMIT IS APPROVED ONLY IN ACCORDANCE wrrn ALL my OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION /
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 1 -E(,�,-1740c0
JOB ADDRESS: a V a a 0=.1 5 )- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS a 0(J AMPS f a O VOLTS PHASE
.VALUE OF WORK$ 15; )3o
NEW SERVICE El Overhead El Underground Underground up Pole
,Residential (Main) Service
00-100 amps 0101-150amps ''151-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
0Multi-Family(Main)Service
00-100 amps 0101-150amps 0 151-200amps ❑ amps # of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150ampp 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:
OILIER ELECTRICAL PROJECTS
0 Swimming Pool ❑ Sign ❑Smoke Detectors Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change 0OH 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. 6v i I d✓'
Property Owners Name C it r\ 5 M Phone Number 50 a " -2(s 7 /
Electrical Company un; �-�� E1 r C o c 3-.)6 Office Phone 13) - 1 /o Fax/3) -53 1/
Co.Address: 51 tt \S ) A v��S�� n ► .-I City J' )' State FL Zip 3 °7
1
License Holder (Print): 1� , rn+ a 44/ . . tr,, ; , State Certification/Registration#EC-13 0 0 534 7
Notarized Signature of License Holder Ar�
ePutt, MARILYN E.TARPLEY Sworn and subscribed before me this (201 Ao( day of u I / 201S
MY COMMISSION#EE877822
°` EXPIRES:March 30,2017 Signature of Notary Public _ •
1