1964 BEACHSIDE CT 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
JOB INFORMATION:
Job ID: 15-ELEC-997
Job Type: ELECTRIC ONLY
Description: 7 switches outlets
Estimated Value:
Issue Date: 4/30/2015
Expiration Date: 10/27/2015
PROPERTY ADDRESS:
Address: 1964 BEACHSIDE CT
RE Number: 169542-0586
PROPERTY OWNER:
Name: CARNES, DARCY S
Address: 1964 BEACHSIDE CT
GENERAL CONTRACTOR INFORMATION:
Name: ALLSTATE ELECTRICAL CTR INC.
Address: P O BOX 550617 QA JAMES L. WILLIAMS
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $4.20
Trade Permit Base Fee $55.00
Total Payments: $63.20
PERMII' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
1Q Ph(\904)247-5826 Fax(904)247-5845
DDRE
JOB ASS: � Itr4 �, S,.L (2A PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZOO AMPS/�i /'I—o VOLTS PHASE
VALUE OF WOR%$ /OD �
NEW SERVICE El Overhead ❑ Underground [D Underground up Pole
❑Residential(Main)Service
❑0-100 amps 0101-150amps 11151-200amps ❑ amps #of Meters_
❑Commercial(Main)Service
❑0-100 amps 0101-150amps 0151-200amps []_____amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps ❑151-200amps EI-MPS #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS REPAIRS,BUHA-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 by
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORKS
REPAH S/MISCELLANEOUS
[Replace Bumt/Damaged Meter Can ❑SafetyInspection ❑Panel Change DOH to UG
00ther.
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 he 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 SQ.1,y�L,7a Phone Number ) -M-470
Electrical Company AAaAd-6— Office Phone%L(- 7ao Fa4k!��
Co.AddresRd,. l9w% �✓7 State&_Zip=04
License Holder(Print): 09ssES L l 'j&4rdr ' State Certification/Registration# E�iig
No olderWANDAE
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ar coaulssronree iz015 Sworn and subscribed beforem ZO' da 20 bs
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Signature of Notary Public .