1629 Beach Ave temp 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: 17-ELEC-3194
Job Type: ELECTRIC ONLY
Description: 60 amps/240/120 volts/single phase
Estimated Value: $150.00
Issue Date: 2/6/2017
Expiration Date: 8/5/2017
PROPERTY ADDRESS:
Address: 1629 BEACH AVE
RE Number: 169650-0000
PROPERTY OWNER:
Name: Pfatenhauer, Kurt
Address: 1629 Beach AVE
GENERAL CONTRACTOR INFORMATION:
Name: UNITED ELECTRIC COMPANY OF
Harold Michael Adamson, EC13005367
Address: 5716 ST AUGUSTINE RD OA JOHN E GRIFFIN JR
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $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 FLORIDA
BUILDING CODES. .,�y�
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
/ (�Ph(904)247-58826 Fax(904)247-5845.. 1i—&L6(— -31'1 9
JOB ADDRESS: 1/o a 9 - iJ t,,L Au-s- -201 _PERMrIT#
JEA INFORMATION REQUIRED ON ALL PERMITS (o-OAMPS Q01Zf VOLTS '1 PHASE
.I'ALUE OF WOES 150, 00
NEW SERVICE ❑ Overhead ❑ Underground ❑/Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps C151-200amps ❑ amps 4 o Meters_
❑Commercial(Maio)Service
❑0.100 amps 0101-150amps 0151-200amps ❑ amps ❑CTService_amps
Conductor Type Sin
❑Mull-Family(Main)Service
0.100 amps -- ❑101-150amps O 151-200amps ❑ amps #of Unit Meters_
Temporary Pok ❑ 6 n amps O �j '
SERVICE UPGRADE ❑ amps ❑ CTService_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amo 0200amps ❑ amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outleta/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
- A/C Circuits: 0-60amps 61-100=Ps
Heat Circuits: # circuits Q kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) VALUE OF WORN S
Qty_volts/amps
REPAIRSIMISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change ❑OH to UG
as
OOther: O 4 -t i ^'✓' /
6 L(-Pmnit bemuses void if work does not commence within a sox month period or work is suspended or abandoned for six months. I hereby certify Net I have
reed this application and know the same to be true and correct. All provisions of laws and ordinmces governing Nis work will be complied with whether
specified or not The permit does not give authority to violate the provisions of my other state or local law regulation construction or the performance of
construction. //�� 11
Property Owners Name Kur+ Pto111 eakGur /- Phone Number D37-351
Electrical Company U n t'1-,j � j-)' Office Phone 131-_9Z-10
Fax 31-53 11
Co.Address: 5714 S � 1"� City TGY StateFL zip 3aa07
License Holder(Print); a�� t / m a State Certification/Registration#5C.13005367
MdyA6bense Holder
.TARPLEY cosenssloxasseneSworn and subscribed before methis dayof Fi,BRuAhY 20Firkl-iiNwi
EYTRFS-.Merd la.3a19 I�
��•-^ Signature of Notary Public � _.RR.w IG. IrA o