675 Beach Ave 2014 elec � CITY OF ATLANTIC BEACH
i f 800 SEMINOLE ROAD
J
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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JOB INFORMATION:
Job ID: 14-ELEC-30
Job Type: ELECTRIC ONLY
Description: switches/outlets
Estimated Value:
Issue Date: 9/17/2014
Expiration Date: 3/16/2015
PROPERTY ADDRESS:
Address: 675 BEACH AVE
RE Number: 170121-0000
PROPERTY OWNER:
Name: BENZ, JAMES W & CATHERINE M,
Address: 675 BEACH AVE
GENERAL CONTRACTOR INF UNITED ELECTRIC COMPANY OF
Name:
Address:
Phone: - -
FEES:
State Elec DBPR Surcharge
Total Payments: $2.00
State Elec DCA Surcharge
Total Payments: $2.00
Lighting Outlets, Including Fixtures
Total Payments: $3.00
Trade Permit Base Fee
Total Payments: $55.00
FTotal Payments: $62.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION ,3
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax (904) 247-5845,
JOB ADDRESS: �p 5 t G G� A v �- PERMIT# 1 y- 3 7
JEA INFORMATION REQUIRED ON ALL PERMITS 0 0 AMPSa�19 VOLTS _ PHASE
VAL UE OF WORK$
NEW SERVICE 0 Overhead Underground ❑T Underground up Pole
❑Residential (Main) Service I
00-100 amps ❑101-150amps ❑151-200amps ❑ an J u
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ ar yo�/- Si Sn�� ..� -amps
Conductor Type Size p �/
❑Multi-Family(Main) Service
00-100 amps - ❑101-150amps ❑151-200amps ❑ ai
❑Temporary Pole ❑ amps �G
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amp& 0200amps ❑ 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 1
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Stroke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) VALUE OF WORK;$
Qty volts/amps
REPAIRSMSCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection /❑�Panel Change ❑OH to UG
❑Other: 1��� /� c�c� 6444 C �AG✓JA 7—"'
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 7� Z Phone Number
Electrical Company �!� E�e C r,` C-4 o; Office Phone _7 3 t -V Z t ,0 Fax-73)-53
Co.Address: 5-1 J V 4;1%{- Rj City
SG k State 6L zip 3a-a
License Holder(Print): C. ! ' Giy►S p'-V State Certification/Registration# 64- 13005343
Notarized Signature of License Holder
Ark� u ." ''"` ` ' Sworn and subscribed before me s day of S P,4� 20 y
� M �l ' Nv c�' Signature of Notary Public
EXPHUS: .pri!23,2013
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