1975 bEACH aVE ELEC 2015 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT
MUST CALL BY 413M FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-534
Job Type: ELECTRIC ONLY
Description: 45 fixtures
Estimated Value:
Issue Date: 3/10/2015
Expiration Date: 9/6/2015
PROPERTY ADDRESS:
Address: 1975 BEACH AVE
RE Number: 169723-1004
PROPERTY OWNER:
Name: ARTHUR TRUST, ANN W
Address: PO BOX 331021
GENERAL CONTRACTOR INFORMATION:
Name: BEACHES ELECTRIC SERVICES INC.
Address: 214 COKESBURY CT QA TODD ASTOR LOCKWOOD
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $27.00
Trade Permit Base Fee $55.00
Total Payments: $86.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-58226 Fax (904) 247-5845
.TOB ADDRESS: 19 75" ez, J11 ave, PERMIT#
VALUE OF WORK$ oOOU�D�
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential (Main) Service
70-100 amps i
L 1101-150amps 151-200amps amps # of Meters
'Commercial(Main) Service
-10-100 amps __1101-150amps ❑151-200amps ❑ amps �7CT Service amps
Conductor Type Size
Multi-Family(Main) Service
-i0-100 amps 101-150amps l_ 151-200amps amps # of Unit Meters
Temporary Pole I-i amps
SERVICE UPGRADE _ amps i CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
1100 amps 1150amps 1200amps amps nCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 30 0-30amps 31-100amps 101-200amps
Appliances: ,3 0-30amps — 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 15T
OTHER ELECTRICAL PROJECTS
lSwimming Pool i Sign _1 Smoke Detectors Qty I Transformers KVA -1 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
1Replace Burnt/Damaged Meter Can FISafety Inspection C1Panel Change [ OH to UG
Other:
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 J. UI J AC41.y Phone Number
Electrical Company`I er,. . e� El��Gc� Svc—"Vtt�ce Phone�Z�j- 3 ��Z Fax
Co. Address: Lx ff City (� C� State Zip 20 3
License Holder(Print): dd ( Oc��J Sta e istration 4 L 13172-
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public