1629 Beach Ave elec permit CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 16-ELEC-2330
Job Type: ELECTRIC ONLY
Description: overhead to underground new electrical service - 220 amps/
240 volts/single-phase
Estimated value: $15,760.00
Issue Date: 10/17/2016
Expiration Date: 4/15/2017
PROPERTY ADDRESS:
Address: 1629 BEACH AVE
RE Number: 169650-0000
PROPERTY OWNER:
Name: Pfotenhauer, Kurt
Address: 1629 Beach AVE
GENERAL CONTRACTOR INFORMATION:
Name: UNITED ELECTRIC COMPANY OF
, E00000344
Address: 5716 ST AUGUSTINE RD QA JOHN E GRIFFIN JR
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
A
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 IV—E L({Q, �
n 1Ph(904)247-5826 Fax(904)247-5845. /6 -9
JOB ADDRESS: I L a 9 Q)ta Ch A ✓ _ - PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS a o AMPS a q a VOLTS 'J PHASE
,VALUE OF WORK$ 15, -7 11P
NEW SERVICE ❑ Overhead ❑ Underground [3 Underground up Pole
❑Residential(Main)Service
❑0-100emps 0101-150amps 0151-200amps ❑ amps of Meters_
❑Commercial(Main)Service
00-100 amps 0101-150amps 11151-200amps Oiamps ❑CTService_amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100amps - ❑101.150amps ❑151-200alnps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CTService_amps
NEW FEEDER(ADDITIONS,,ACCESSORY STRUCTURES,ETC.)
0100amps 0150=0 ❑200amps ❑ amps ❑CTService_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: II-L- 0-30amps 31-100amps 101-200amps
Appliances: �0-30amps 31-100amps 101-200amps
_ A/C Circuits: -4 0-60amps 61-100amps
Heat Circuits: 2 # circuits @ 10 kw
Number of Lighting Outlets, Including Fixtures: %Z
OTHER ELECTRICAL PROJECTS
❑Sw'nnming Pool ❑ Sign %Stuoke DetectorsR_Qly ❑Transformers KVA ❑Motom_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORKS
REPAHLSMSCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safely Inspection ❑Panel Change NH 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 end 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 to violate the provisions of my other slate or local law regulation construction or the performance of
construction. 0
Property Owners Name K u r} T �o Phone Number
Electrical Company U A;�-d E/t e l-n-(< Co Ar ,Tib Office Phone _731- V LI o Fax _731-53 h
Co.Address: 5116 51•• Aa4g3-h"w ej City 3-
6 Lkd an Ui lk State jEL Zip3201
License Holder(Print): i 01,/ ii m JO� State Certification/Registration#EC 130000
Notarized Signature of License Holder
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A K.G,tif FIN 2 Sworn and subscribed before a this )3L1' d&y of G 6er 20�s_es.n„cv:u3s f Signature of Notary Public
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