2235 BEACHCOMBER TR - ELECTRICAL REGROUND r
�, ., f CITY OF ATLANTIC BEACH
A , 800 SEMINOLE ROAD
\\N.,,_r ATLANTIC BEACH, FL 32233
iir) I NSPECTION PHONE LINE 247-5814
of
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1381
Job Type: ELECTRIC ONLY
Description: reground electrical service
Estimated Value:
Issue Date: 7/6/2015
Expiration Date: 1/2/2016
--------- --..--- -------------------------------
PROPERTY ADDRESS:
Address: 2235 BEACHCOMBER TR
RE Number: 169463-0168
PROPERTY OWNER:
Name: COX, MELVIN L
Address: 2235 BEACHCOMBER TR
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
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BliILDING CODES.
From:9047371099 06/12/2015 08:59 #001 P.002/002
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-582 Fax (904) 247-5845
JOB ADDRESS: a 35- -- e`.I�I�CY tine r 1 c i I PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS .00 AMPS,Q V d VOLTS 1 PHASE
VALUE OF WORK$ (g U L L1 O
NEW SERVICE I I Overhead ❑ Underground (JJ 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 CT Service amps
Conductor Type Size
'Multi-Family(Main)Service
:0-100 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole ' amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 1150amps 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
i_.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: C)�,t..i'Y) Q( L r ICC1 r V1 ce..
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. ( � l /J // �y
Property Owners Na e ITV- Phone Number9d`r - (_616 — 37iq i /
Electrical Company 1Y�y�tCC�6� ! ct 1 y1 fQL'Ti/ Office Phone -'Z3'�-77`7L� Fax 9c�y—�37' C�SO/
Co. Address: 5253 3 -. I _t i 5l VIP )2-rD Cit 111._ r _ State Zip 3a).67
License Holder (Print): r W c-- ; (1 . ,Certification/Registration# a 1)L 153 i
Notarized Si:nature o ' '4 '' • #(der � /-4 -c--�/G�
'1
..** Moan v�w�sum°�Florida Sworn and subscribed befoie me t lis /z_ day o • Or) " 20
Anne M Daly
My Commission EE 850790
firs_ ...F c,mres 01/2512017 Signature of Notary Public 1/7-):/1,-t,('? -7'l ,1\ ,( . -c-'