2251 Barefoot Traceelec permit J� �f I
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 NEItT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3592
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 5 FIXTURES
Estimated Value: $500.00
Issue Date: 3/27/2017
Expiration Date: 9/23/2017
PROPERTY ADDRESS:
Address: 2251 BAREFOOT TRAC
RE Number: 169463-0632
PROPERTY OWNER:
Name: HAGAN,KENNETH DALE & CATHRYN A,
Address: 2251 BAREFOOT TRAC
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 $3.00
Fixtures
Trade Permit Base Fee $55.00
Total Payments: $62.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 17- SLEC -3 S9 Z
't c Ph(904)247-5826 Fax(904)247-5845 (-7_ M-L(- - .?4 ITY
.TOB ADDRESS: �✓�J 1 bax e - � - TC�c�L� PERMIT# 11
JEA INFORMATION REQUIRED ON ALL PERMITS o AMPS Y 0 VOLTS / PHASE
VALUE OF WORK$. 5-0%
NEW SERVICE ❑-Overhead ❑ Underground ❑1 Underground up Pale
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100amps [1101-150amps D151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE 11-----amps 0 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,RUTA-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 Q kw II
Number of Lighting Outlets, Including Fixtures: � f}d� 1 feccM ( I l)at\i� lJt-
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Mrorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can 0 Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
Permit becomes void ifwork 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 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 contraction or the performance of
covstmetion. 1 /� I I
Property Owners Name RAP✓` NC.a G to Phone Number
Electrical Company e)ec J- 1e,% SOC, rZg < Office Phone iolct -3l q7—Fax
Co.Address: a-1�{ ct'keD Q pp)L pp City Qn C1 State Zip ?�y3
License Holder(Print): Co.J c-f c 1 � O �cation/Registration# 2 Oo 1317 L
Notarized Signa_lure o Lice" Ide o�
r 1:uA GINGLEaFEGGEa
L'T y'(e0ta115SI0N4FF121111 BefOCe methis day Of 20
r" r g%PIPES'October 6,2019
)� a;.rkarrcn se anv.m'�comen"aa Signature of Notary Public