2218 Barefoot Tr 16-ELEC-373 Hot Tub Circuit 30 Amps ,,,,, %
, '' Jas `S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\0.21 >r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -373
Job Type: ELECTRIC ONLY
Description: hot tub circuit 30 amps
Estimated Value:
Issue Date: 2/16/2016
Expiration Date: 8/14/2016
PROPERTY ADDRESS:
Address: 2218 BAREFOOT TRAC
RE Number: 169463 -0582
PROPERTY OWNER:
Name: ROHRBAUGH, MICHAEL & GINGER, *
Address: 2218 BAREFOOT TRAC
GENERAL CONTRACTOR INFORMATION:
Name: INTEGRITY FIRST ELECTRIC CO
Address: 116 SEAGRAPE DR WALTER HAYNES
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Lighting Outlets, Including Fixtures $0.60
Total Payments: $59.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: . 2..( 8 ll ave '�- c.,� 4- - TY'ACC. PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORD$ I cock) —
NEW SERVICE 1 I Overhead 1 1 Underground FT Underground up Pole
❑Residential (Main) Service
00 -100 amps 0101- 150amps 0151- 200amps ❑ amps # of Meters
❑Commercial (Main) Service
00 -100 amps 0101- 150amps 0151 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
❑ 0 -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: t 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ k
Number of Lighting Outlets, Including Fixtures: 2
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
?IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
LEPAIRS/MISCELLANEOUS
DReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Other: OtAi C` acy..- 4. IA i 4,.....i- e vt l lt. , i4 5,6 Pe-µ.e( C2, cQo i t t i O C k I'S
unit 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
ad 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
ecified 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
nstruction.
•operty Owners Name 9-..0‘0 ,�/� ! �' C. 'c \ Phone Number 702 (a 35' 5 - 2
ectrical Company 1V\ .11 7 i }-J ev t 3' e [irMC Co Office Phone t `>'6- 64 13 Fax
). Address: 920-D 8 rS- r9kfrt S. City ( J e c
Y c State FL Zip 322S1)
tense Holder (Print): 0 0y `-1-4. t he 5 State Certification/Registration # rr C13Uo` l en
?tarized Sig, at, o ..' cogg 4g, . _
Shirle Gram /A ��
� j M CommiL ssion ha Fg m" his 1V day ,,,' t ., ' 20
of n Expires 02/14/2018
vallIPP a% r- of Notary Public = AVA _