2212 Laughing Gull elec 2014 `s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ELEC-492
Job Type: ELECTRIC ONLY
Description: reground elec service
Estimated Value:
Issue Date: 11/21/2014
Expiration Date: 5/20/2015
PROPERTY ADDRESS:
Address: 2212 LAUGHING GULL CIR
RE Number: 169463-0026
PROPERTY OWNER:
Name: WALLACE, RUTH N
Address: 2212 LAUGHING GULL CIR
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ELECTRICAL CONTRACTOR
Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
From:9047371099 11/21/2014 09:42 #814 P.002/002
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5845
JOB ADDRESS: QaIQ - Cj I 0—t PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUEOFWORK$ `'70 ,0'0
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
Residential(Main)Service
0-100 amps 10 i-150amps 151-200amps _ amps # of Meters
:.!Commercial(Main) Service
0-100 amps 101-150amps i 151-200amps f: amps CT Service amps
Conductor Type Size
-='Multi-Family(Main) Service
-0-100 amps ;101-150amps l 51-200amps amps #of Unit Meters
[.-:Temporary Pole '
—amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
-i 100 amps 7 150amps ?200amps amps 'CT 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 Sign :Smoke Detectors Qty ?Transformers KVA )Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
- Replace Burnt/Damaged Meter Can -:Safety Inspection Panel Change -!OH to UG
Other: tJ '
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 1 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. CC j (�.�/ / f-
Property Owners Name ,�5 1 f{ l'.. Phone Number` J—t S a lfJt�
Electrical Company wax Y l CL, Or, Office PhonegA-13191 ax 96(4-731 JL'Il
x1Co.Address: ��S- ( City ` State Zip
License Holder(Print): ►C Y.-� State Ce on/Registration# �I�OC�IS 3 I�D
Notarized Signature of License Holder
Sworn and subscribed beore me lfhis day of �Pv �? 20f-
r f
CltrriofilTP of 7�tnf�r� Uil�lir /I /il �_ _ r ii) � �� 1/'e