2011 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 NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2396
Job Type: ELECTRIC ONLY
Description: repair 15 outlets/switches, replace 2 exhaust fans, under-
cabinet lighting, washer & dryer
Estimated Value: $800.00
Issue Date: 10/25/2016
Expiration Date: 4/23/2017
PROPERTY ADDRESS:
Address: 2011 BEACH AVE
RE Number: 169707-0000
PROPERTY OWNER:
Name: BARNWELL, STANLEY L
Address: 21453 ROSEPARK CT
GENERAL CONTRACTOR INFORMATION:
Name: B & C ELECTRICAL INC
Bruce Christopher Bradley,ER1301.2515
Address: 12447 PATRICK CT QA BRUCE CHRISTOPHER
BRADLEY
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Appliances $8.00
Lighting Outlets, Including $9.00
Fixtures
Trade Permit Base Fee $55.00
Total Payments: $76.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH ►b-FAL-a3%
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(9044)247-58224 Fax(904)247-5845
JOBADDREss: r'L // r�t�rp// ZZ10 PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS.2gLAMPS�YQ VOLTS /CJJ PHASE
VALUE OF WORK$—�(IL. C--' �'T
NEW SERVICE ❑ Overhead Ci Underground ❑Underground up Pole
❑Residential(Main)Service
00-100 amps 1101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole amps
SERVICE UPGRADE CI amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps i7200amps ❑ amps 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 i Transformers KVA []Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qtyvolts/amps FALUEOFWORK$ Sr�w
REPAIRS/MISCELLANEOUS
❑Replace Bumtt//Dam'aged Meter Can J ❑Safety Inspection ❑Panel Change /❑OH to UG
❑Other.�6'4 LS�X'�t FY'.c J-,S / .f o f �i;�
i
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
mad 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 to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Phone Number
Electrical Company i Office Phone'�? //e.//Z9-7/1Xax
Co.Address: /2 City // State EL—Zip 722Lf
License Holder(Print):X17ileSta tion/Registration#
Notarized Signature-f License
�.� peattALBIA7IE
"^v1• MYCOIMfl551CNiff01KR2 Beforeme[his 2 - day of 6r- 20�
4IY E%plRES:May 14,201]
yl'��,;6 - aomhTM�xwoa°^"v1nOen"°" Signature of Notary Public Q'H rlR 0