1580 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-S814
308 INFORMATION:
Job ID: 17-ELEC-3806
Job Type: ELECTRIC ONLY
Description: 200 amps/240 volts/single phase - replace bumt/damaged
meter can
Estimated Value:
Issue Date: 4/25/2017
Expiration Date: 10/22/2017
PROPERTY ADDRESS:
Address: 1580 BEACH AVE
RE Number: 171875-0000
PROPERTY OWNER:
Name: March, Diane
Address: 1580 Beach AVE
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ELECTRICAL CONTRACTOR
Earl W. Frick,EC13007311
Address: 5065 ST AUGUSTINE RD APT 13 QAEARLW. FRICK
Phone:
FEES:
Electrical Repairs $35.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES Am ME FLORIDA
BUILDING CODES.
ATLANTIC BEACH
PERMIT RECEIPT
April 21,2017
PERMIT DESCRIPTION: 200 amps/240 volts/single phase-replace burnt/damaged meter can
PERMIT NUMBER: 17-ELEC-3806
ADDRESS: 1580 BEACH AVE
CITY OF ATLANTIC BEACH
OWNER: BOO SEMINOLE RD
ATLANTIC BEAC,F.3M3
Electrical Repairs $35.00 04 25,,2017 09:04:45
CREDIT CkRD
State Elec DEPR Surcharge $2.00 MC SALE
CARD XXXXV=1482
State Elec DCA Surcharge $2.00 INVOICE 0002
SEQ 0002
W#: 000547
Trade Permit Base Fee $55.00 Approval Cok 671855
Erty MeIrml: Maui
Mode: OnIkv
Tax kwt $0.00
wCok:
Totals: $94.00 Card Codc M
SALE AMOUNT �N.w
CUSTOMER COPY
c3
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Serninole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 J'�-EL'&C'MDG
JoRADDREss: )5�30 lgreNrh AVP PERMIT#
A+JQAA:h� f7fCAQh 0- 372S3
JEA INFORMATION REQUIRED ON ALL PERMITS2Z-)b AMPS 'Z40 VOLTS PHASE
VALUEOFWORK$
NEW SERVICE 0 Overhead 'KUd,,gomd D Underground up Pole
01hissidential(Main)Service
L20-100 mpg U101-150amps 1151-200amps L I amps #of Meters
OCommercial(Main)Service
E10-100aamps D101-150amps 151-200mps 2 mpg LICTServicemps,
Conductor Type Sim
ElMulti-Fmdly(Main)Service
00-100 amps 11101-150amps I i 151-200amps I amps 9 of Unit Meters
OTemporary Pole Fl____Amps
SERVICE UPGRADE L. mpg LJ CT Service_mpg
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
U100amps 11150amps 11200amps 0_____amps EICT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUELD-OUTS,ACCESSORY STRUCTURES,ETC.
Oudets/Switches: —0-30amps 31-100aimps —101-200amps
Appliances: —0-30aimpts 31-100amps —101-200amps
A/C Circuits: —0-60anaps 61-100amps
Heat Circuits: #circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
ESwimmingPool -] Sign F Smoke Detectors_Qty LTransformers; KVA liMotorshp
IMF ALARM SYSTEM (Requires 3 sets of plams)
Qty_voltstamps_ VALUE OF WORK$
REP71MISCELLANEOUS
R,
�teplaczc Bunit/Diumaged Meter Carl PSafe(yInspection Epartelchange E1OH to UG
1
LjOther, 10 otsen� ckli�� �- 620� f�r lqwc+ ral 'S�e ekg�tj.
Fronaft b..as,.id if.,k deargat wormstux,within a six rargath potiod or work is suaturded or abandoned for six months. lherebycertifythdlhav�
read this application wall know the sarne to be true and context. All provisiorts of laws arid ordinances,gaussnint;this work will be rgsaplual with wbether
spectiodornot. The peanit dm not giw audiority to violate thesovisioars of my other show or local law regulation construction or the perstnarroa of
.natroction.
PropertyOwnersName L�nf\e ycoc�\ PhoineNumber 61L)LAS:;LS r)y)OiiD-
Flectmaill Company PAVe(l C;s-, P-1eHYir,), 6M�CXWffice Phone '��"W`1`10 Fax—
Co.Address: S665-- -S �4- Adq(6�,�j city 'Aa"( Stater( Zir'-�Z?oq
I d) 9 ification/Registration#e!�CJ3;6(3193J
Ucaama Holder(Print): 't;k- ,hfi.,to,/Rg,,ti
Notarized
ti to nseHoLder
ic
!Tn.�Y't.Le Sworn and subscrib" elor tb 20j7
STATE OF FLORIDA
Expir"2/212021 S blic A csn4�1