1618 BEACH AVE ELECTRIC 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
30B INFORMATION:
Job ID: 15-ELEC-1260
Job Type: ELECTRIC ONLY
Description: pump circuit 20 amps
Estimated Value:
Issue Date: 5/29/2015
Expiration Date: 11/25/2015
PROPERTY ADDRESS:
Address: 1618 BEACH AVE
RE Number: 169547-0000
PROPERTY OWNER:
Name: MCKNIGHT, MARY JANE
Address: C/O 1959 SELVA MARINA DRIVE BRUCE ROBBINS
GENE RAL CONTRACTOR INFORMATION:
Name: LIN'S ELECTRIC INC
Address: 3840 MAGILL RD QA VIRGIL LINDSEY RHODEN JR
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: $59.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMFr APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(9014)247-5826 Fax(904)247-5845
JOB ADDRESS: V ' V GR C-1� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 100 AMPS -2-L/0 VOLTS =PHASE
VALUEOFWORK$ 0190 r
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑I01-150amps ❑151-200amps [1 amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps ICT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
f10-100 amps 0101-ISOamps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps ❑ amps OCT 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 ❑Motom_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty Volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
Other. � ♦ 0 j ✓ c +
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 one 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 constmction or the performance of
construction. t
Property Owners Name ?'a., Qo l7 i n e� Phone Number t�37-410 5-3
Electrical Company 7�. .5 C1+�'EY�'� t�n�. Office
(Phone (�1/rs/3176 Fax X73^OSS
Co. Address: J gyv mis i I( 1`K City U'dp State F( Zip zza
License Holder(Print): vlrt . L,1 J. �ot�e,. " tate ertification/Registration# 7*e/30I32Y°
Notarized Signature of Lie ense Holder
Before me this a of hlt20�
as. Notary Pubk gabs PbMe
y�J¢j Shirley L orehem Signature of Notary Public
y `,�{ MaNgn�01111nOIF
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