2220 Beachcomber Tr elec permit CITY OF ATLANTIC BEACH
Y ; 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 16-ELEC-2179
Job Type: ELECTRIC ONLY
Description: repair 5 outletsfxtures
Estimated Value:
Issue Date: 9/28/2016
Expiration Date: 3/27/2017
PROPERTY ADDRESS:
Address: 2220 BEACHCOMBER TR
RE Number: 169463-0048
PROPERTY OWNER:
Name: Perry, Mary
Address: 2220 Beachcomber TR
GENERAL CONTRACTOR INFORMATION:
Name: BEACHES ELECTRIC SERVICES INC.
,ER0013172
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
Lighting Outlets, Including $3.00
Fixtures
Trade Permit Base Fee $55.00
Total Payments: $97.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 110—Ulb." �)
Ph(904)247-5826 Fax(904)247-5845 ( `� 2�•,� ,' ,(�
JOB ADDRESS: y 7 20 =CQCk CQr/L f " _PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
[Residential (Main)Service
1:10-100 amps ❑101-150amps ❑151-200amps - amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps �1 amps 0 C Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ".101-150amps 151-200amps ❑ amps 9 o Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps []-MPS OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps �31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool :' Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/M[SCELLANEOUS
❑Replace Bumt/Damaged Meter Can []Safety Inspection L]Panel Change OOH to UG
❑Other.
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 true 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 10 violate the provisions of any other state or local law regulation construction or the performance of
consuuclion.
Property Owners Name c1�'-' Phone Number
Electrical Company `�eCkA-11 Ner- StJL Office Phoner LZ,/-h?'7 ax
Co.Address: Cokkv� CA City L J State f--
A Zip Z y 3
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License Raider(Print): d State Certification/Registration#
Notar_izdSiEnature oCLicense older
T ax cular + Before me this 7daof 20
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Signature of Notary Pub