620 BEACH AVE ELEC �S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
J1319
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1863
Job Type: ELECTRIC ONLY
Description: 4 outlet switches
Estimated Value:
Issue Date: 8/4/2015
Expiration Date: 1/31/2016
-
PROPERTY ADDRESS:
Address: 620 BEACH AVE
RE Number: 170123-0000
PROPERTY OWNER:
Name: FRISCH, MARK & MEREDITH.,
Address: 620 BEACH AVE
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 $2.40
Trade Permit Base Fee $55.00
Total Payments: $61.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PERMIT APPLICATION
ELECTRICAL PE
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: nor<., PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential (Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps 4 of Meters
❑Commercial (Main) Service
00-100 amps ❑101-150amps ❑151-200amps Fl—amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps []_amps 4 of Unit Meters
E,Temporary Pole ❑ amps
SERVICE UPGRADE []_____amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps DCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 2 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: 7—
OTHER
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign a Smoke Detectors_Qty ❑Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can E]Safety Inspection El Panel Change DOH 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. QQ
Property Owners Name 1�.,.;f1S, T1—rI, \\� Phone Number��53 -97,
Electrical Company �h�6 - `�'� � �FNC Office Phone/'`7.7WU Fax99-2:�-5,01/
Co.Address: it City � � State Zip _
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License Holder (Print): /1�/+�c'S L � State Certification/Registration# .3
NotaEM
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