335 2ND ST ELEC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1586
Job Type: ELECTRIC ONLY
Description: NEW SUB FEEDER 60 AMPS 29 OUTLETS
Estimated Value:
Issue Date: 7/1/2015
Expiration Date: 12/28/2015
PROPERTY ADDRESS:
Address: 335 2ND ST
RE Number: 169783-0000
PROPERTY OWNER:
Name: CHAVOUSTIE, STEPHEN M
Address: 335 2ND ST 335 2ND ST
GENERAL CONTRACTOR INFORMATION:
Name: DEPENDENT ELECTRIC INC
Address: 6360 LOUIS CLARK CT BRYAN SCOTT CAMERON
Phone• - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $17.40
Trade Permit Base Fee $55.00
Total Payments: $76.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
/ Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: .33S Zr%) <S PERMIT# IS-IZ4W- QO6
VALUE OF WORK$ Z200
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps 01151-200amps ❑ amps #of Meters
!❑Commercial(Main) Service
E10-100 amps [I 101-150amps ❑151-200amps ❑ amps ---CT Service amps
Conductor Type Size
!Multi-Family(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
.Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ?rig)--amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1 0-30amp s 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 11 Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change Ll 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
•ead 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
,onstruction.
?roperty Owners Name Phone Number
3lectrical Company nen e..k it E k., Office Phone C 0 j-j oS•i o 20 Fax
3o. Address: C. Lou:S �' �..-✓. G� City J�.e,rt,ca,n IL t Stater-(— Zip Itt-0-
Icense Holder (Print): ab CsN.en^ State Certification/Registration# C2[10 Pffl y
Votariz
Notary Public State of Florida
Shirley L Graham Pe f me this of 20
My commission FF 08699
OF A�' Expires 02/14/2018
ture of Notary Publi