2337 Beachcomber Tr elec permit ?tL 111r���
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2178
Jab Type: ELECTRIC ONLY
Description: repair 3 outlets/fixture
Estimated Value:
Issue Date: 9/28/2016
Expiration Date: 3/27/2017
PROPERTY ADDRESS:
Address: 2337 BEACHCOMBER TR
RE Number: 169463-0146
PROPERTY OWNER:
Name: CUNKLE, CURTIS & JULIA H,
Address: 2337 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
Lighting Outlets, Including $1.80
Fixtures
Trade Permit Base Fee $55.00
Electrical Repairs $35.00
Total Payments: $95.80
PERMIT IS APPROVED ONLY W ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
q -7 & � M Vier Ph(904)247-5826 Fax (904)247-5845 /b �6Z^ Z 0'Z6
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JOB ADDRESS: -3 3 ar C Vier TCI- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-15oamps ❑151-200amps ❑ amps ❑CTSeMce amps
Conductor Type Size
:]Multi-Family(Main)Service
00-100 amps E101-150amps ...151-200amps ❑ amps #of Unit Meters
LITemporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 11150amps 0200amps ❑ amps ❑CT Serviceamps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _6,1^0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits Q kw
Number of Lighting Outlets, Including Fixtures: _ 2
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/MISCELLANEOUS
[]Replace Bumt/Damaged Meter Can ❑Safety Inspection Panel Change DOH 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 wm et. 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
consnaction.
Property Owners Name
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CA .r!. V� G Phone Number
Electrical Company c.cjV.eb �(r C. SOC . Office Phone CeM 31 r4ax
Co.Address: fly CAkjzAIgtl La CiTy n C- S State( zip 3 2-43
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License Holder(Print): epi c) oto State Certification/Registration#
Notarized Signature- [der
1ltlIGlNatFA '� ._ B
�(^rj`w5j x_ ayccWISSIONtFF924951 Before me this=�',�YNt EXPIPES'.Ocleber 6,2x19 O
�Fks' Signature of Notary Public