2305 BAREFOOT TRAC - ELECTRIC r i •,, \s, CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
;; ATLANTIC BEACH, FL 32233
/ INSPECTION PHONE LINE 247-5814
Jl1l>`'
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2402
Job Type: ELECTRIC ONLY
Description: ELECTRIC - ADD CAN LIGHTS & 4 REST
Estimated Value:
Issue Date: 10/12/2015
Expiration Date: 4/9/2016
PROPERTY ADDRESS:
Address: 2305 BAREFOOT TRAC
RE Number: 169463-0626
PROPERTY OWNER:
Name: WRAY, BRIAN AND BRENDA, *
Address: 2305 BAREFOOT TRAC
GENERAL CONTRACTOR INFORMATION:
Name: C & R ELECTRICAL SERVICES, INC
Address: 5368 MUSCOVY RD QA RANDY PARKER COLLINS
Phone: 904-291-9436
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $70.00
Trade Permit Base Fee $110.00
Total Payments: $184.00
1
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
/� Ph(904)247-5826 Fax(904)247-5845 (5 -. C-EC - Z40 Z—
JOB ADDRESS: p(�OS ,Z61.(7'/ T29C.-e PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK 5
NEW SERVICE ❑ Overhead ❑ Underground U Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0 151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged�oMeter Can ❑Safety Inspection ❑Panel Change DOH to UG
,e0'6ther: /44/ (v�� '/lei//' GOV /W ,4/AK /+41✓
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
>pecified 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.
?roperty Owners Name 44-1/ Gt ho/ Phone Number
3lectrical Company e/&-SZ t jf o/ Y:wt.V/ Y. Office Phone 94429/9W{v Fax 9" 2r 9KJ)
L'o.Address: 577 /°�� y- �/Z(/ City _State /�/ Zip .72s ,'
License Holder(Print): / t4 ( /J//III' State Certification/Registration# GC/7t O,�,.a
/
Notarized Si:maw • i i , i lder
Notary Public State of Florida :efore me this /2- da ••f � / 2015____
Shirley 1.Graham
< My Commission FF 088990 r
i Fr Expires 02/14/2018 Signature of Notary Public �_ . A 0
(1iI )�J
J'31w~
2 305'
ADDRESS: Soi,c care nrare_._
'ITY OF ATLANTIC BEACH
BUILD' ,JG AND ZONING DEPARTMENT
NOTICE
This building has been inspected and:
General Construction Mechanical
Concrete and Masonry /` Electrical
Plumbing Gas Piping
IS NOT ACCEPTED
CORREC1 S NOTED BELOW,d EFORE ANY FURTHER WORK
Qe T 414 t s aye r e (J %r� -(Cr r s pi. C-P s ,n a-r lc a c/
_opus . 00c,bl o re Pf PC/ri'c.
DO NOT REMOVE THIS NOTICE
Building Official: 0 1 Date: /(e) - 7 • !$
Failure to respond f As otice within 10 days will result in this violation being
forwarded to the
CODE ENFORCEMENT BOARD.
The postir., of this Placard by its contents shall serve as due notice.