1303 BEACH AVE - ELECTRICAL -S�\J`-I f.
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�C\ CITY OF ATLANTIC BEACH
(-) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2781
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - 110 FIXTURES
Estimated Value:
Issue Date: 12/1/2015
Expiration Date: 5/29/2016
PROPERTY ADDRESS:
Address: 1303 BEACH AVE
RE Number: 170296-0000
PROPERTY OWNER:
Name: LAMBROU JR, FRED H
Address: 1998 RIVER RD
GENERAL CONTRACTOR INFORMATION:
Name: FRANKLIN ELECTRIC SERVICE
Address: 4 TALLWOOD RD QA JARRETT ADAM FRANKLIN
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Lighting Outlets, Including Fixtures $66.00
Total Payments: $125.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845 1 S`ELF—Z7&�
JOB ADDRESS: 13 03 B I L A W Ave-- PERMIT # IT -QIA pc -21'1 1
JEA INFORMATION REQUIRED ON ALL PERMITS 3()0 AMPS 04 0 VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground 1NII Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 0 101-150amps x1151-200amps 0 amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps k 00 amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: SO 0-30amps 31-100amps 101-200amps
Appliances: y 0-30amps 31-100amps 101-200amps
A/C Circuits: 1 0-60amps 61-100amps
Heat Circuits: 2.. # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 1reI—' 00
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5
OTHER ELECTRICAL PROJECTS
❑Swimming Pool 0 Sign 0 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 Meter Can ❑Safety Inspection ❑Panel Change ❑OH 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.
Property Owners Name IA 009.0.`)5 Phone Number
Electrical Company f(L 1SJ.)1C u i3 CLl`( /?4 C 5L'Ylrl9 I CF- Office Phone 4 29- L(/25-Fax
Co.Address: P.O. i j k 5-121 7 City J4.k BC State R Zip 3 22 L/ 3
License Holder(Print): _..2'_fti _ . i /240 0 State Certification/Registration # E1?13 013 Vte
Notarized Signature of License Holder ∎
NM • a V_
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Iu = MY COMMISSION 0 FF 924951 1 '
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'e,g7„Tl Bonded Nu No PPM: