605 COASTAL OAK IRRG ELEC J
`i CITY OF ATLANTIC BEACH
, ) 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-387
Job Type: ELECTRIC ONLY
Description: IRRG NEW COMM UG ELEC SVC 100AMP 120/240V 1 PH
Estimated Value:
Issue Date: 11/6/2014
Expiration Date: 5/5/2015
PROPERTY ADDRESS:
Address: 605 COASTAL OAK LN
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: FIRST COAST ELECTRIC, LLC
Address: P O BOX 60995 QA JERRY LEE ETTINGER, JR
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Commercial Electrical $50.00
Trade Permit Base Fee $55.00
Total Payments: $109.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: 605 COASTAL OAKS LANE PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _100 AMPS 120/240 VOLTS _1 PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ■ Underground E3Underground up Pole
❑Residential(Main) Service
1.10-100 amps ❑101-150amps C-200amps I #of Meters_1
$Commercial(Main) Service
*0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑
Conductor Type_ALUMINUM Size_#1
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps C�-200amps ❑ #of Unit Meters
17.Temporary Pole ❑ amps
SERVICE UPGRADE C
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑ ❑ ❑
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
IL hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑
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 ATLANTIC BEACH PARTNERS LLC Phone Number
Electrical Company FIRST COAST ELECTRIC, LLC Office Phone (904) 779-5491_Fax (904) 777-3608.
Address: 5465 VERNA AVENUE City JACKSONVILLE State FL Zip 32205
License Holder(Print): JERRY L EFFINGER, A i . State Certification/Registration#
Notarized Signature of License Holder
T1i0MAS 1 ANDREWS III S d s ri d before m this t h day of N 0 VCm�,ee 201
# * MY COMMISSION 1 FF 106138
�, EXPIRES:July 25,2018 Signature of Notary Pub..
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