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1945 BEACH AVE ELEC CITY OF ATLANTIC BEACH f 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-1809 Job Type: ELECTRIC ONLY Description: ELECTRIC REPAIR - 2 -40 AMP BREAKERS Estimated Value: Issue Date: 7/28/2015 Expiration Date: --- 1/24/2016 '. _ _ - PROPERTY ADDRESS: Address: 1945 BEACH AVE RE Number: 169694-0000 PROPERTY OWNER: Name: MORGAN TRUST, WILLIAM NEWTON Address: 1945 BEACH AVE GENERAL CONTRACTOR INFORMATION: Name: COASTAL ELECTRIC COMPANY Address: 2759 ST JOHN BLUFF RD 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: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904) 2�47-5845� JOB ADDRESS: ��s /32 A c �t U P� /4�114 . Q ]L /X-�[ 1 I • PERMIT# 3Z-233 JEA INFORMATION REQUIRED ON ALL PERMITS ZQo AMPS 2 30 VOLTS + PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole ❑Residential(Main) Service ❑0-100 amps 101-15Oamps 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.) J 100 amps ❑150amps ❑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 Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) ae Qty volts/amps VALUE OF WORK$ 0 REPAIRS/MISCELLANEOUS —Replace Burnt/Damaged Meter Can ❑Safety Inspection --Panel Change ❑OH to UG other:_RtelAL,_ t�,jj) 'job 18(2ut4tv, 30A R_ eteAkeAoS 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. tc Q f ? p Property Owners Name 1 hone Number b � Electrical Company COABT.,I �' U, Office Phone IdYby ayZ( ax S" I D 6 Co. Address: 2-1 SA SSC �o�� '1 S City J/-I V�, State FL Zip 3Z2 t License Holder (Print): Q. State Certification/Registration Notarized Signature of License Holder JESSICA BMONES Sworn andsscribed before me this Z$ day of lkjA& 2015 Nmry Public.State of FlorWe My Comm.Explms Apd 17,2M8 Signature of Notary Public Commbiaion No.FF 110641