1878 BEACH AVE - ELECTRIC i� J Jr.
��' �1, CITY OF ATLANTIC BEACH
_ 800 SEMINOLE ROAD
_)
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0.F 1 Id
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3778
Job Type: ELECTRIC ONLY
Description: 200 amps/240 volts/single phase - 5 fixtures
Estimated Value: $2,500.00
Issue Date: 4/17/2017
Expiration Date: 10/14/2017
PROPERTY ADDRESS:
Address: 1878 BEACH AVE
RE Number: 169542-0.606
PROPERTY OWNER:
Name: Underwood, Malaika
Address: 1878 Beach AVE
GENERAL CONTRACTOR INFORMATION:
Name: INTEGRITY FIRST ELECTRIC CO
Walter Eugene Haynes, EC13003883
Address: 116 SEAGRAPE DR WALTER HAYNES
Phone: - -
FEES:
Lighting Outlets, Including $3.00
Fixtures
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $62.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH — 2 Q ��
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 11—&(—&-C--3-i4�
JOB ADDRESS: ` g7 e g-e4cL, ,4Je. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS dab AMPS 2 YO VOLTS / Pr PHASE
VALUE OF WORK$ 2 SZx) o
NEW SERVICE ❑ Overhead ❑ Underground I 11 Underground up Pole
OResidential(Main)Service
00-100 amps O 101-150amps 0151-200amps 0 amps #of Meters
0 Commercial(Main)Service •
00-100 amps 0 101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps D200amps 0 amps OCT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: W 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: 3
OTHER ELECTRICAL PROJECTS
OSwimtning Pool 0 Sign 0 Smoke Detectors_Qty ❑Transformers KVA ❑Mors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change ❑OH to UG
OOther:
2emoda( Aev hec(✓oov► '- ex;s441 2Ait, {Zw►S 7,vew -(3,41,vc5 "
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 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 MI/17i( Lc 6 aGd✓aloe Phone Number
Electrical Company 3-n 4'eSvi ki Fe's 4 f jrcf '4 C 0 Office Phone eo 2G- M2- Fax
Co.Address: n'I 70-0 85- "`e 3 City J"9'X b�<<- State A-- Zip 32251
License Holder(Print): cti Ow . State Certification/Registration#
:. ,;_,k : Ifolder
- ""4'—s . _ -JENNIFER Js S
i=4'';,, ,, MY COMMISSION#GG 042984 Before me this ` -4(?;-..-� day of r 20 1 -
i "'' EXPIRES:October 27.2020
':•4:',:: Bonded Ttw Notary Public Underwriters
— Signature of Notary Public )1--A-4;4,-._ )4.61ZZ=1;==',