1291 Beach Ave16-ELEC-2472 permit rtyl.y;yh
I, CITY OF ATLANTIC BEACH
j 800 SENHNOLE 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-2472
Job Type: ELECTRIC ONLY
Description: ELECTRIC - METER CAN REPLACEMENT ON GARAGE
Estimated value: $750.00
Issue Date: 11/8/2016
Expiration Date: 5/7/2017
PROPERTY ADDRESS:
Address: 1291 BEACH AVE
RE Number: 170295-0000
PROPERTY OWNER:
Name: HIONIDIES, CHRIS
Address: PO BOX 330108 PO BOX 330108
GENERAL CONTRACTOR INFORMATION:
Name: LIGHTHOUSE ELECTRICAL CTR.
Richard L.Graves, EC0000621
Address: 2345 URBAN RD QA RICHARD LEE GRAVES
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORMA
BUILDING CODES.
1110212016 17:31 Lighthouse Electric (FA1 OUBWW7 P.0011001
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
■ �I�\ 800 Seminole Rd,Atlantic Beach, FL 32233
\ v Ph(904)247-5826 Fax(904)247-5845 �1�p — F_(,-EL—Z4-7 Z_
uADnRE88: 1�k�1 ��.�P�W
POG PERMIT#
.IEA INFORMATION REQUIRED ON ALL PERMITS 1,50 AMPS "X4DVOLTS PHASE
VALUE OF WORK
NEW SERVICE LI Overhead ❑ Underground M Under wand op Pole
IlResldential(Maio)Service
❑0.100 amps 0101-150amps ❑151-200amps ❑ amps #of Meters
Cl Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service—amps
Conductor Type Sim
❑Multi-Family(Main)Swvice
❑0-100 amps ❑101-150amps ❑151-200amps 0 amps #of Unit Meters
❑Temporary Pole ❑ amps
(SERVICE UPGRADE U amps ❑ CT Service_amps
INEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps U 150amps 0200amps C amps ❑CT Se vivo_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100ampa 101-200amps
U A/C Circuits: 0-60amps 61-100amps
Beat Circuits: #circuits Q kw
Number of Lighting Outlets, Including Fixtures: -
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign 0 Smoke Detectors_Qty nTramfwmers XVA ❑Motors hp ,
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—wits/amps VALUE OF WORK$
REPA NBCELLANEOUS
lata Burin/Damaged Meta Can ❑Safety Inspection % ❑Panel Change ❑OH to UG
❑Other: V-30S"Ti mv-- C'f�ttJ (s n Galq,e.
Pemutbecotnea void ifwork does not=man=within a six month period a work is suspended or abandoned torsi[months. I hereby ccnify that I train
;sad this application and know the eamemmema and cwaft. All provisions oflaws and ordinanoes govaaiaa this work will be complied with whether
spccl8ed ornot The permit docs not®ver autbority to violate the provisions ofeny other ante a local law roaolation construction athe pefformnam of
nasttucdeu. hf-ts
E-lioc-\ icle,s
Property Owners Name
cePhone Number 24IS1(—Jp11 5 1
ElctricalCompgy, ffi
� 4 OOC
Phon M
�o. Address: U;kaot'-) City Z-gqmpt- - State S.Zip 2;L"k\0
ve�older(Print): �c:FFr�Q� \^ • G2w�G? tate
Certification/Registration#
Safi i pw��
Kaalk sTUDaxSkl
P xou,y veniro•site m fmxA m and subscribedppet'ple a this day of 2p
CaMa183W a GG 010832
MY cen„n.taw ea o'.,6.Zj fire of Notary r
senate f poise par.,
rj�ylil i�
ATLANTIC BEACH
l
PERMIT RECEIPT
November 3, 2016
PERMIT DESCRIPTION: ELECTRIC-METER CAN REPLACEMENT ON GARAGE
PERMIT NUMBER: 16-ELEC-2472
ADDRESS: 1291 BEACH AVE
OWNER:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Totals:
$94.00
No
QPQ�
OF P
G��