2143 FRANCIS MAIN UG ELEC � fy�
CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
r
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Sob ID: 14-ELEC-384
3ob Type: ELECTRIC ONLY
Description: MAINT. UG ELEC 200 AMP 120/240 VOLT 1 PH
Estimated Value:
Issue Date: 11/6/2014
Expiration Date: 5/5/2015
PROPERTY ADDRESS:
Address: 2143 FRANCIS AVE
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 $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION "
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS:_2143 FRANCIS AVENUE PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS 120/240 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead M Underground OT Underground up Pole
Residential(Main) Service
0-100 amps ]101-150amps 1-200amps C #of Meters
Commercial(Main) Service
0-100 amps ❑101-150amps 1151-200amps amps
Conductor Type_ALUMINUM Size_#250
[_ Multi-Family(Main)Service
�0-100 amps [i 101-150amps E3200amps ❑ #of Unit Meters
Temporary Pole CJ amps
SERVICE UPGRADE L
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑ ❑ ❑
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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
❑ 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
Co.Address: 5465 VERNA BLVD City JACKSONVILLE State FL_Zip 32205
License Holder(Print): JERRY L EFFINGE tate Certification/Registration#ER13012499
Notarized Signature of License Holder
4"e '
, 16frfA8lAWDRE�NSIN Sw rn d subs a efore me this fi� ay ofDV D 201M1(;OI II L AN t E 1p813i1 �nne�* tXPIREs:July 25,2018 Signature of Notary Public
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