1771 Beach Ave elec permitf
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r 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-1949
Job Type: ELECTRIC ONLY
Description: remove/replace 8 kitchen cans, change 4 inch cans w/ LED
retro - replace u/c lighting trims
Estimated Value: $2,000.00
Issue Date: 8/26/2016
Expiration Date: 2/22/2017
PROPERTY ADDRESS:
Address: 1771 BEACH AVE
RE Number: 169675-0000
PROPERTY OWNER:
Name: TRAGER, MITCHELL AND BETH,
Address: 1771 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: RIVER CITY ELEC CONTRACTORS
,ECA001795
Address: 12496 NE GATELY OAKS L QA JOHN MICHAEL
SCIOLINO
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including $4.80
Fixtures
Trade Permit Base Fee $55.00
Electrical Repairs $35.00
Total Payments: $98.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
ROWSerninale Rd, Atlantia-Beach KLM33-_..._. -
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 1-771 R ,ti 42o. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS - VOLTS PHASE
PAL UE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main)Service
DO-1 00 amps 0101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 11151-200amps ❑ amps ❑CT 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 ❑CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 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:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors—Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plana) ao p
0 mo
Qty volts/amps VALUE OF W0Z$
REPAHIS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
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lifbther. l�i.� Ce & 5/tr Ctut W144FD 2e It AP — Ri /�o U/� L% Lrfi:ts •'�'�S•
Permit 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
read this application and know the same to be one and correct All provisions of laws and ordinances governing this work will be complied with whether
specified 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
construction.
Property Owners Name /��� %ra.• r Phone Number
Electrical Company Rr`1LGr C—a, Office Phone Fax
Co. Address: /2Yf{(r ,`,yam/,r City 'A.qg State jq, Zip _371,Zu
License Holder(Print): Dor2Gjw4 st 'o rno State Certification/Registration# 4 /3 0 0 6031
Notarize ure � '
n1'e0M1M5SbR1FF 1915
E%pIPES:May 21,2018�e re me i111S day 20
eom.d rnR sxav wee a am�an
ature of Notary Public
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