1618 Beach Ave 2014 elec CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMA N:
Job - -
Job Type: ELECTRIC ONLY
Description: 22 switches
Estimated Value:
Issue Date: 10/23/2014
Expiration Date: 4/21/2015
PROPERTY ADDRESS:
Address: 1618 BEACH AVE
RE Number: 169547-0000
PROPERTY OWNER:
Name: MCKNIGHT, MARY JANE
Address: C/O 1959 SELVA MARINA DRIVE BRUCE ROBBINS
GENERAL CONTRACTOR INFORMATION:
Name: CRAWFORD ELECTRIC
Address:
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $13.20
Trade Permit Base Fee $55.00
Total Payments: $72.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
r /Ph(904)247-5826 Fax (904) 247-5845
JoB ADDRESS: 4 � eifc h � 3,Z�3 3 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Oo- AMPS -4`r0 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps C-200amps C # of Meters
El Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ ❑
Conductor Type Size
❑Multi-Family(Main) Service
[10-100 amps [1101-1 50amps C1-200amps ❑ #of Unit Meters
[I Temporary Pole ❑ amps
SERVICE UPGRADE [ C
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑ ❑ ❑
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 2-3 1-100amps 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
❑ hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS /
El
C
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 Phone Number
Electrical Company T16714 Office Phone Fax
Co.Address: p / City State Zip
License Holder(Print): S q W'v d State Certification/Registration#
Notarized Signature of License Holder
Before me thi day of 20
Signature of Notary Public