1303 BEACH AVE - ELECTRIC UNDERGROUND UP - POLE r\J`l.r
' I - CITY OF ATLANTIC BEACH
2 800 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-1376
Job Type: ELECTRIC ONLY
Description: ELECTRIC - UNDERGROUND UP POLE
Estimated Value:
Issue Date: 6/15/2016
Expiration Date: 12/12/2016
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
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 16-E,Lce. 1 -57G
JOB ADDRESS: 13 O'3 '8 C k M-' PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS (/ED AMPS 2ti0 VOLTS
PHASE
VALUE OF WORK$
NEW SERVICE I I Overhead n Underground X114 Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps El 4400 amps #of Meters 1
❑Commercial(Main) Service
00-100 amps U101-150amps 0151-200amps i7 am s
Conductor Type Size p OCT Service amps
°Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole El amps
SERVICE UPGRADE 0 amps 0 CT Service amps
IEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 0200amps ❑ 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: 0-60am61-100amps 101-200amps
Ps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
'THER ELECTRICAL PROJECTS
El Swimming Pool Li Sign °Smoke Detectors_Qty ❑Transformers
KVA °Motors hp
[RE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps • VALUE OF WORK$
EPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can 0 Safety Inspection f(Panel Change 11OH to UG
°Other:
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 perfonnance of
struction.
perty Owners Name AOCatIZ S bd145RpLgiH Phone Number Va5!' 5
ctrical Company (/144Jai k) tr. crLiC /c Office Phone 669—ci9Z5" Fax
Address: P.0 • -$oK 5---)z 3 7 City S gal State FL-Zip ,F22`IO
nse Holder (Print): 3—AP1ZE7T /U cutis/ State Certification/Registration# X72/30/34�9�3
arized Sign atur• • , , 7.•_.... ��, , i
Vin:' 10fdi({NC ESPERGER 4 —'-' L
MV CsaAd3c';' g�� _
f�,; Ex DN'IMI:': '1�:r.ffiEre 1• e this 1 S day of U `6 i 20 40
Ca ndec?h_' ubrz urdewraers vP W� i
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_.--i. . • e of Notary Public , • O_ 4 • ,'