1089 Atlantic Blvd. - Temp Pole 200 amps ' rAJ
J
I S' CI TY OF ATLANTIC BEACH
6 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 3
\
IN
. j 1 J SPECTION PHONE 32233
r E LINE 247 -5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ELEC -58
Job Type: ELECTRIC ONLY
Description: Temp Pole 200 amps
Estimated Value: $300.00
Issue Date: 1/11/2016
Expiration Date: 7/9/2016
PROPERTY ADDRESS:
Address: 1089 ATLANTIC BLVD
RE Number: 177616 -0000
PROPERTY OWNER:
Name: ASHLAND INVESTMENT, INC
Address: 7880 GATE PKWY SUITE 300
GENERAL CONTRACTOR INFORMATION:
Name: ARC FLASH ELECTRIC, CORP
Address: 406 Madison AVE Suite 7 QA ALLEN JAMES EIMERS
Phone: 904 - 579 -4629
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.
ELECTRICAL PER.MJT APPLICATION
CITY OF ATLANTIC BEACIf �L�C
-
S00 Seminole Rd, Atlantic Beach, FL 32233 `kc2.
Ph (904) 2 47 -5826 Fax ( 247 -5845 EL, JoB ADDRESS: .: A vi ,siva z.2_,_3.3 PEWIT# :1Kei4'1
dEA I NFORMATION 1' QUIIRED ON ALL ,pERNlt''Z'S
OO Ames _V VOLTS
PHASE
VALUE OF WORK $ �t
NEW SERvrCE 0 • erlaead
Residential (Ma n) Service Underground QT Underground up Pole
.. ;0 -100 amps "101 -150am s
'' Commercial (M in) Se p 151- 200amps
. amps # of Meters
;0 -100 amps ) rvice
P l 01- 150amps 151- 200amps
Conductor Type
1VIuIti�Fami1 ( ain) S ervice
Size amps Li CT Service amps
_:0- 100 amps p
Te ora 1 01 -150am s
F ry pole amps 151- 200amps amps # of Unlit Meters
SERVICE UPGRADE
— � -- am ps CT Service amps
NEW FE EDER (ADDIT ONS, ACCESSORY STRUC
'100 amps 1 Oamps '.;200amps TURFS, ETC.)
ADDITIONS • amps . .CT Service amps REPAIRS
, , BUILD -OUTS, ACCESSORY STRUC
TURFS, ETC.
Outlets /Switche
Appliances: 0- 30amps _31- 100amps
A/C Circuits: 0- �30ann s p _101- 200amps
0- 60amps 61- 100ams 101- 200amps
Heat Circuits: p
H ea t C r of u Li htin; �# circuits g @ k
g Outlets Fixtures:
OTHER ELECTRICAL ' ROJECTS
'Swimming Pool '! Sign :Smoke laetectors ,.
FIRE AL Qh' � 1 Transformers KVA '-- . !Motors
SYSTEM (Requires 3 sets of plans) hp
_^ volts /. ps
VALUE OF WORK
REPAIR S / MISCELLANEOUS
Replace Burnt/Dartaaged Meter Can ...Safety inspection . Panel Change OH to UG
— _______
'er bm v work mnc a m pe on ro work is or abandoned for si
cad mit thi app ca Joni oid and if know does the same not co t me be true e and within correct six All provisions onth d of laws and suspended ordinances govcmin thi w
peered or not The permit does not give authority to violate the provisions of any other state or iotal law regulation x months. I hereby certify that t have
pccifi o
d r 8 s ork t c io complied with whether
construction or the performance of
'rvperty Owners Name rt t —InVt51-
electrical Company � � - IM. Phone Number �_
.......
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o. Address: ' � ta' ,,��■ ;�Yj Office Phone R - 4' �i
ox G y _3�zo1"'ax �p -t?oz 5
Cit State (Print): ,� � R- icense Holder (pr� �5 Zip 5
State Certification/Registration # I 'U3$
Warized Signature of Lirnse Holder �, i r" �1
JESSICA CAIN • �'o and subscribed before me this
.•; Commission # FF : � 5348 day of I . 1 20
` x;N . ,- l Expires August 13 2019 `ignatllre of Notary Public r, Iaidw NI Trey Fain . 80046S70t0 - OF - - ' / lia ' - 4 .