2316 Beachcomber Tr 2014 elec j►t.'L`1r
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J 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-ELEC-271
Job Type: ELECTRIC ONLY
Description: 25 FIXTURES
Estimated Value:
Issue Date: 10/21/2014
Expiration Date: 4/19/2015
PROPERTY ADDRESS:
Address: 2316 BEACHCOMBER TR
RE Number: 169463-0068
PROPERTY OWNER:
Name: ADAMEC, CHRIS R & TRACIE L,
Address: 2316 BEACHCOMBER TR
GENERAL CONTRACTOR INFORMATION:
Name: FRANKLIN ELECTRIC SERVICE
Address:
Phone• - -
FEES:
Lighting Outlets, Including Fixtures $15.00
Trade Permit Base Fee $55.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Total Payments: $74.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: Z to '&Ptw cfoaQCA 1-'-t-- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /b�l _AMPS 2 ,-1 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps G amps QCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
E10-100 amps ❑101-150amps ❑151-200amps Li-amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps [I CT Service amps
ADDITIONS,REMODELS, PAIRS,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 ❑ Sign []Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
L1 Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change [I OH to UG
�Ce
❑Other: u
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 C44 fb S A 2,A, 1EC- Phone Number
Electrical Company �IL1�u"� t�CTR-1C —j'&,V I CF Office Phone to Z� '�1 1 Z 5 Fax
Cit State�Zip X22 y O
Co.Address: (2O 1�01� S 123 y
License Holder(Print): State Certification/Registration# Ei2 13 0 1369$
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public