2025 BEACH AVE - ELECTRIC l- "j viT ,
� '`� \s, CITY OF ATLANTIC BEACH
\:, ..: c)
800 SEMINOLE ROAD
j ' ' :!" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2524
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - REPLACE METER CAN
Estimated Value: $150.00
Issue Date: 10/26/2015
Expiration Date: 4/23/2016
PROPERTY ADDRESS:
Address: 2025 BEACH AVE
RE Number: 169709-0000
PROPERTY OWNER:
Name: REICHLER, RICHARD J & MICHELLE, *
Address: 2025 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: THOMPSON ELECTRIC OF N. FL.
Address: 108 E 27th ST QA FRED M THOMPSON JR
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
State Elec DCA Surcharge $2.00 ATLANTIC BEACH, FL 32233
PHONE (904) 247-5855
Electrical Repairs $35.00 Cashier Id: aspcust\atlbbja
Receipt Date: 10/25/2015 9:10:57 AM
Receipt Number: OS-68500
Trade Permit Base Fee $55.00 Job ID: 15-ELEC-2524 - ELECTRICAL - REPLACE
METER CAN EDBPR Stat ElecDBPR Surcharg
e $2.00
Job ID: 15-ELEC-2524 - ELECTRICAL - REPLACE
METER CAN EDCA_25 State EElec RDCA LSurcharge
E
Total Payments: $94.00 $2.00
Job ID: 15-ELEC-2524 - ELECTRICAL - REPLACE
METER CAN EL1B - Electrical RRepairs REP$3S.
00
METER: 15-ELEC-224
Trade Permit RBas REPLACE
e Fee $55
.00
Amount Due: $94.00
Tender Information: Cash $94.00
Tender Type: CC
Tender Amount: $94.00
Change Due: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTI
BUILDING CODES. -
'0-23-15;01 : 35PM;Thompson Electric ;9043532777 # 1/ 1
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 ( � �
Ph (904) 247-5826 Fax(904) 247-5845 2Szq-
JOB ADDRESS: D.0-' 'S I eO PtQ �(-L-tj - PERMIT# .
JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS auto VOLTS - PHASE
VALUE OF WORK S \ C .°°
NEW SERVICE ❑ Overhead 0 Underground _I Underground up Pole
:Residential (Main) Service
00-100 amps =101-150amps 0 151-200amps = amps # of Meters
❑Commercial (Main) Service
00-100 amps =101-150amps =151-200amps C amps OCT Service amps
Conductor Type Size
:Multi-Family (Main) Service
00-100 amps 101-150amps t S 1-200amps amps #of Unit Meters
:Temporary Pole 7 amps
SERVICE UPGRADE : amps = CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0 100 amps C 150amps C200amps C 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 101-200mmps
A/C Circuits: 0-60amps 61-I00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
:Swimming Pool C Sign =Smoke Detectors_Qty =Transformers KVA ❑Motors .hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
yiLeplace Burnt/Damaged Meter Can :Safety Inspection =Panel Change :OH to UG
0 Other: _
i
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 t r)rsia (6 Re_...Al c'v-\\eC Phone Number g0--VDA).—( \
Electrical Company V\ -)mcz c -\ c' Cr (I 1;;Iflace Phone .r� Faxes
Co. Address: E City � ,►yglect,[�ll� StatecL Zip C4
License Holder (Print): liki' ■ l in you 11■6�*, 5.tat Certificatio Regis - t C.\CZO
Notar+;,''eh.. • �~ '~
( i#70, Nei"l a 'tj and subscribed before me this Q:'C6 d of ' Q\CPr 20 \f
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