338 7th ST ERES21-0155 Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ECCE SZ t -U I SS
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: pa 1 - i Z 9
JOB ADDRESS: 3-"S 1144 . St A ._0 PROJECT VALUE $ j OO , OC
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 2 ttC VOLTS I PHASE
I I NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
Residential (Main) Service:
0-100 amps o101-150amps o151-200amps amps #of Meters
[ Commercial (Main) Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
LMulti-Family(Main) Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
II SERVICE UPGRADE: ❑ amps : CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps 150amps 200amps amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 30 0-30amps 31-100amps 101-200amps
Appliances: I 0-30amps I 31-100amps 101-200amps
A/C Circuits: 0-60am ps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 15
OTHER ELECTRICAL PROJECTS:
❑Swimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
L_iReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Other: Updated 10/17/18
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.
Owner Name: Boss 6Aa Phone Number:
Electrical Company: TJ . Office Phone: `1 t)i 7,•46 `qd yei Fax:
Co.Address: b` 5rif AVE )1/4.) City: 3.4X - Oct( State: C► Zip: 3220
License Holder: 4l-)S.0 I . kraf State Certification/Registration#: P%(3 O0731't
Notarized Signature of License Holder (AJJ SIJ Y age
The foregoing instrument was acknowledged before me this day of a ttt. I dr in the State of Florida,County of c
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'Pe'vBu ,, TONIGiNDLESPERGER178 Signature of Notary Public
c= MY COMMIS
#GG 353
!" •+ 2023 [ ] Personally Known OR[ ] Produced Identification
: EXPIRES:October 6,
'-fizv�°p' BondedThruWAIN ublicUndenrtilers Type of Identification: