1595 Beach Ave - Electric .4 v` , CITY OF ATLANTIC BEACH
r N j 800 SEMINOLE ROAD
110
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
.401119'
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1268
Job Type: ELECTRIC ONLY
Description: ELECTRIC - RE ATTACHED METER CAN
Estimated Value: $400.00
Issue Date: 6/2/2016
Expiration Date: 11/29/2016
PROPERTY ADDRESS:
Address: 1595 BEACH AVE
RE Number: 170313-0000
PROPERTY OWNER:
Name: BLACKARD, WILLIAM R JR
Address: 3531 HEDRICK ST
GENERAL CONTRACTOR INFORMATION:
Name: BEACHES ELECTRIC SERVICES INC.
Address: 214 COKESBURY CT QA TODD ASTOR LOCKWOOD
Phone: - -
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A'T'LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 ���
JOB ADDRESS: 15 S.— )e.o. ci, Rue- PERMIT# ( Yqo
JEA INFORMATION REQUIRED ON ALL PERMITS /Oo AMPS a-Y" VOLTS
PHASE
VALUE OF WORK$ 7' O `?
NEW SERVICE n Overhead
H Underground 1 U Underground up Pole
❑Residential(Main) Service
00-100 amps ij 101-I50amps ❑151-200am s
O Commercial (Main) Service p amps #of Meters
00-100 amps 0101-150amps O 151-200amps ❑ amps OCT Service
Conductor Type Size amps
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200am s ❑ amps #of Unit Meters
❑Temporary Pole 0 amps p
SERVICE UPGRADE ❑ amps L CT Service amps
STEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100am s
Appliances: 0-30am s p 101-200amps
p
A/C Circuits: 0-60am31-100amps 101-200amps
ps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
ETHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors Qty OTransformers
KVA ❑Motors hp
1 [RE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
EPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can D Safety Inspection LiPanel Change ❑OH to UG
(.Other: X G{-F c" 1 'ellerC-- -
mit 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
I 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
:ified 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
struction. r
perty Owners Name I �l 6 I k C(G '-i Phone Number
-, ctrical Company p y 3 eAct.es CI t.c,1-Cr Cc,-1 9c. Office Phone (0-M- 3 I Fax
Address: 21 Li Cf-)v( e5 tot,(`� � City l�/-
�11 ( S State (( Zip ��o (f 3
!nse Holder (Print): 1 odd V‘.,--)ca-) State Certification/Registration# z(�2 0013/ 7 Z-
arized •.V• ---=--- ---------•--;-...
l ........ TONI GINDLESPERGER �A!
�u ,., MY COMMISSION 9 FF 51
.%. l EXPIRES:October 6, for; me this�� day o _ \ 20
` 11
? .rid° Bonded Thru Notary Public Underwriters
- _ re of Notary Public ♦ I_
i