2247 Beachcomber Tr 2014 bed bath remodel CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-00001445
Job Type: RESIDENTIAL ALTERATION
Description: BED AND BATH REMODEL
Estimated Value: $40,000.00
Issue Date: 9/24/2014
Expiration Date: 3/23/2015
PROPERTY ADDRESS:
Address: 2247 BEACHCOMBER TR
RE Number: 169463-0164
PROPERTY OWNER:
Name: BURGIN, CHRISTOPHER & LAURA,
Address:
GENERAL CONTRACTOR INFORMATION:
Name: ROLLINS CONSTRUCTION INC
Address:
Phone: - -
FEES:
PERMIT FEES $250.00
STATE DCA SURCHARGE $3.75
STATE DBPR SURCHARGE $3.75
PLAN CHECK FEES $125.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $4.80
Trade Permit Base Fee $55.00
Total Payments: $63.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(9c0�4) 247-5826 Fax (904) 247-5845 N—Mb
JOB ADDRESS: � 7 / �L,d,.l ll'�rr 61�Q1 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 0 AMPS _VOLTS PHASE
VALUE OF WORK$ 'FCC."
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
-Residential(Main) Service
D0-100 amps -101-150amps ❑151-200amps ❑ amps #of Meters
Commercial(Main) Service
10-100 amps -101-150amps D 151-200amps D amps -CT Service amps
Conductor Type Size
Mu1N-Family(Main)Service
D 0-100 amps -101-150amps L!151-200amps D amps #of Unit Meters
Temporary Pole C amps
SERVICE UPGRADE L' amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
i l00 amps D 150amps -200amps -_ amps LJCT 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
-Swimming Pool C Sign D Smoke Detectors_Qty D Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VAL UE OF WORK$
REPAIRS/MISCELLANEOUS
D Replace Burnt/Damaged Meter Can D Safety Inspection D Panel Change D OH to UG
D Other: CA Pcom �Rg noLyl—,
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 5 liY.. Phone Number per`'
Electrical Company ► t 1 ^ Office Phone "�?wFax 7U7'�3��
Co. Address: City State �- Zip 3z�`1
License Holder (Print): Ea W ►C State Ce egistration#�UbIU)
Not er
Notary public stale of Florida worn and subscribed bef rem this C�2_ day of 20A
Anna M Daly
My Commission EE 850790
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Expires 01/25120'17 gnature of Notary Publi
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