392 7th SOLAR ELECTRIC i rLy/'
, `S, CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
91 .;. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 14-ELEC-559
Job Type: ELECTRIC ONLY
Description: ELEC FOR SOLAR
Estimated Value:
Issue Date: 12/4/2014
Expiration Date: 6/2/2015
PROPERTY ADDRESS:
Address: 392 7TH ST
RE Number: 169914-0000
PROPERTY OWNER:
Name: HARVEY TRUST, SHORTELL
Address: 392 7TH ST
GENERAL CONTRACTOR INFORMATION:
Name: BEACON ELECTRICAL CONTRACTORS
Address: 1428 CRYSTAL SAND DR SHAWN HEATH
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $0.60
Trade Permit Base Fee $55.00
Total Payments: $59.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
'ELECTRICAL PERMIT APPLICATIC�
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 2471-5826 Fax (904) 247-5845
�B ADDRESS: �� ��f tt+ Alcln-E,L Ck1.. FL, X233 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$ ,300
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 amps CCT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 101-150amps i 151-200amps _i amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
=100 amps 1150amps 200amps amps ICT 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:
v i HER ELECTRICAL PROJECTS
Swimming Pool Sign -Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection !Panel Change OH to UG
elec�'Ical
Other: ZGI 00 r 'P1/ soko-r S }
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. f
/"
Property Owners Name / Phone Number 1p��'f �5�V
Electrical Company� GCI�n �leC-�r i ca I CD(14yac+'01 Office PhoneVY -2,x -53q`� Fax
Co. Address: TJ)W lin !'fid. 10A-301S CitySO•k.. State FL, Zip 221�
License Holder (Print): C_j Stat eicatio g ration# Z!tl DD397
Notarized Signature of License Holder
Sworn and subscribed before me this � day of fjo✓&X be r 20-d Signature of Notary Public
;: JOY E BARNES
'- MY COMMISSION#EE846780
EXPIRES October 25.2016
14071 398 0753 FbrWallowySKWC*com