2346 Oceanforest Dr W - Electric r" e) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1192
Job Type: ELECTRIC ONLY
Description: ELECTRIC - PANEL CHANGE
Estimated Value: $10,000.00
Issue Date: 5/24/2016
Expiration Date: 11/20/2016
PROPERTY ADDRESS:
Address: 2346 W OCEANFOREST DR
RE Number: 169463-1564
PROPERTY OWNER:
Name: MONTAGNA, JULIUS & TINEKE, *
Address: 2346 W OCEANFOREST DR
GENERAL CONTRACTOR INFORMATION:
Name: BEACON ELECTRICAL CONTRACTORS
Address: 1428 CRYSTAL SAND DR SHAWN HEATH
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
I
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 1(D - EL.0 '( 19
JOB ADDRESS: a?,14(o foe_�,._ f'o ✓.es.i- iis PERMIT# /4—,14D D -
JEA INFORMATION REQUIRED ON ALL PERMITS Too AMPS L.yo VOLTS I PHASE
VALUE OF WORK$ /J Oca
as
NEW SERVICE ❑ Overhead n Underground nT Underground up Pole
i=_Residential(Main) Service
!0-100 amps -j 101-150amps 151-200amps 1 1 amps #of Meters
[ Commercial(Main) Service
0-100 amps 101-150amps 7151-200amps I amps QCT Service amps
Conductor Type Size
[Multi-Family(Main) Service
-:0-100 amps I -101-150amps 1 1151-200amps amps #of Unit Meters
[..Temporary Pole I I amps
SERVICE UPGRADE amps 7 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
-100 amps 150amps 200amps amps -CT Service amps
ADDITIONS, REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Outlets/Switches: /o 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: I p
OTHER ELECTRICAL PROJECTS
❑Swimming Pool El Sign J 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 I Safety Inspection 4anel Change 7OH to UG
ITOther: Ac a h / a. e9,1,1: )-;o✓1
'emit 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
ead 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
onstruction.
'roperty Owners Name C....a✓t l lc Phone Number 3 1 G —3' ' Tr
3lectrical Company &a can E/ec bi,'c et I Office Phone 331C-S35 L( Fax
;o. Address: 14 a r G•,rs 1-c s..,.,J3 C)r City 041)e State gL Zip 3'12 1 $5-
,icense Holder (Print): 1, _ ., L--\ a ,. JJ tate Certification/Registration# EL /3 0o341 I
dotarize,. N",� u ��
, re v.•,.
�',., ';, MY COMMISSION t FF 924951 e '� 1
C(
EXPIRES:Octobers, th e me this day I ,
d Bonded Thru Notary Public UndeMratfO 21 (0
Signature of Notary Public _ _.aJ 9 I ;