631 BEGONIA ST - ELECTRIC Sr��yr-
CITY OF ATLANTIC BEACH
•
f I 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-1910
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - 120 V. 20 AMP CIRCUIT
Estimated Value:
Issue Date: 8/11/2015
Expiration Date: 2/7/2016
PROPERTY ADDRESS:
Address: 631 BEGONIA ST
RE Number: 170919-1035
PROPERTY OWNER:
Name: MORELAND, PETER W
Address: 1510 N 4RD AVE
GENERAL CONTRACTOR INFORMATION:
Name: LIBERTY ELECTRICAL CONTRACTORS
Address: PO BOX 8743 QA LOUIS JOSEPH DEPETRIS
Phone: 904-745-1850 _
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph (904)247-5826 Fax(904) 247-5845 i J-E LEC- nip
JOB ADDRESS: (j3 ( 6-3,( / c Sit • PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS L/0 VOLTS 7 PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground I IT Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps Li 151-200amps a amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps amps CICT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
ETemporary Pole D amps
SERVICE UPGRADE I 1 amps D CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps D 150amps D200amps 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 i
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA Motors .r�j hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ 7.r9f9
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: • ► l� - I • 4 - A •• 4 ' /. � / 7, I ,% 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 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 / ,,e AbalcivsAive Phone Number S 7c;10
Electrical Company '_. ' 4 , if ,i.a,. f Office Phone 79'KS-/rJ /Fax 7 y,�'lo O
Co.Address: / Lid--V Mu ,ry° A1,� City 4':90 Stater/ Zip f f
License Holder(Print): • ` 19 /lam__ * i , I S)9 ertification/Registration#622=1_24
Notarized Signature of License Holder Arl,■ i# L- 3(j-C30-5S �-M I 3-0
;:v�;, JENNIFER WALKER :efore me this t 1 . ~day e f /\V 20 i S
\:"
��,h;1 MY COMMISSION FF 011480 I /
(ACkitit.,;": ,fit Bo dP EN P 4uoaenvrHeii Signature of Notary Publ '����•