1735 BEACH AVE ELEC PERMIT CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NE)[T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1888
Job Type: ELECTRIC ONLY
Description: remodel/repair 40 outletstfixtures, replace lights, switches,
outlets, rewire laundry room & kitchen
Estimated Value: $3,000.00
Issue Date: 8/19/2016
Expiration Date: 2/15/2017
PROPERTY ADDRESS:
Address: 1735 BEACH AVE
RE Number: 169668-0000
PROPERTY OWNER:
Name: LANE III, EDWARD W
Address: 1735 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: ADVANCED WIRING SERVICES INC. dba ADVANCED
ELECTRIC OF NORTH FLORIDA
Address: 3061 PHILLIPS HIGHWAY ST CAWALTERWILLIAM
GILLIAM
Phone:
FEES:
State Elec DBPR Surcharge $2�00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $24.00
Trade Permit Base Fee $55.00
Total Payments: $83.00
PERMIT IS APPROVED ONILY W ACCORDAPiCE WITH ALL CON OF ATLAWIC BEACH ORDINANCES A]'11D THE FLORIDA
BUILDING CODES,
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
_Z -33 PERMIT
JOB ADDRESS: �_135 0)er�c�) A� &I
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS —VOLTS PHASE
VALUEOFWORK$ 3,000.OJ
NEW SERVICE El Overhead Underground D Underground up Pole
Residential(Main)Service
,0-100 amps --101-150amps 151-200amps ----amps #of Meters;
-Commercial(Main)Service
1 0-100 amps -101-150amps 151-200amps -'—MPS CT Service amps
ConductorType_ Size
-,Muld-Fasally(Main)Service
-0-100amps I 101-150amps 151-200amps —amps of Unit Meters
Temporarylsole . amps
SERVICE UPGRADE ---__amps CT SeNice_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
LA00amps 150amps _200amps --'—MPS __CTSersice trips
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
OutleWSwitches: /0 -30anips 7- 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 Fiiiiurex. 'N
OTHER ELECTRICAL PROJECTS
SwimmingPooi - Sign �Smoke Detectors_Qty I Transformers KVA -Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Oty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
lReplace BurattDamaged Meter Can
-Sidery Inspection Panel Change -OHtoUG
Nother: eeltc. 1_4gkj� ,
Femrit berm.�oid if work does not courreace withi.a,ix mouth period or work is suspended or abandresed for six morialm [herabycesirrychasihave
read this application ad kuow the same to be=send correct. All pmvisiors oflaws ard ordinances gooeraing this work will be eornplied with whether
specifiedornoL The pearnit does rot siw authority to violate the proivisions of my other share or local law regulation constractim or ale profonnance of
constoactior.
property o.Name ED L6�a, Phone Number
Electrical Company Murib '44;sridd)frjce Phone-11414-q4qL, --Yax-R2.:j�'L
Co.Address: 3CU M L&P v"4 uni* �L)4 City 3cc.Ll�cn,,",I State Zip
License Holder(Print): L State Certification/Registration# EC-' 3WE8
Notarized 5jye ofLicense Holder
'I, 110T41111 G11118; orn and subscribed befbreme this 19't" dayof August 20ILiL
I" as s'
a.... .... S'.u.j losida
ars.Explo,slow2.2018 of Notary Public
ralsift 0 FF097714
ATLANTIC BEACH
PERMIT RECEIPT
PERMIT DESCRIPTION: remodel/repair40outlets/fixtures, replace lights,switches,outlets,rewire
laundry room&kitchen
PERMIT NUMBER: 16-ELEC-1888
ADDRESS: 1735 BEACH AVE
OWNER:
C'
DATE ISSUED: 0�P\J�pAA�
FEES DUE:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets,�IncludmgFixtures —$24�00
Trade Permit Base Fee $55.00 CM OF ATLANTIC BEACH
800 SEMOLE RD
ATLANTIC BEAC,F.32233
Totals: 0819 2016 08:5
$83.00 CREDIT CARD
MC SALE
CARD XXXXXXX=1731
INVOICE 0001
SEQ D001
W DD0383
Approval C& 395746
blill rvkdw� milual
No& Onihe
In krourft: $0.00
Card Code: 101
W AMOUNT
CUS rOMER COPY