Permit Elec 320 10th St 2011 a ��„ ` CITY OF ATLANTIC BEACH
r )� 800 SEMINOLE ROAD
`= ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002621 Date 9/14/11
Property Address 320 10TH ST
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
REPLACE DAMAGED MAST POLE
Owner Contractor
MANAHAN, DONALD MCCLURE ELECTRICAL CONTRACTORS
3012 CYPRESS CREEK E. 537 5TH AVENUE N
PONTE VEDRA BCH FL 32082 JAX BEACH FL 32250
(904) 237 -4701
Permit ELECTRICAL PERMIT
Additional desc . REPLACE MAST
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 3/12/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .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
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: Z <,,, L . PERMIT # 24
JEA INFORMATION REQUIRED ON ALL PERMITS 70 AMPS Z VOLTS I PHASE
VALUE OF WORK $
NEW SERVICE U Overhead
❑ Underground ❑1 Underground up Pole
❑Residential (Main) Service
❑0 - 100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
❑0 - 100 amps ❑ 101 150amps ❑ 151- 200amps ❑ amps II CT Service amps
Conductor Type Size
❑ Multi- Family (Main) Service
❑0 - 100 amps ❑ 101 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
❑ Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps ❑ 200amps ❑ amps ❑ CT Service amps
ADDITIONS, REMODELS BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps 1 i
A Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ kw l
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)
Qty volts /amps VALUE OF WORK $
1 ' PAIRS/MISCELLANEOUS
• : - , • - : •• . . .ged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG
W O ther: L_,(2\n,--ce c� -, C 0 r\-S} Q e .
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 QJ o a_ A t i r. L (3.- is—) Phone Number
Electrical Company '("A `Ck- r` L t \r_ c \ c \ Office Phone ,Lt 6 v— `t o G 1 Fax
Co. Address: S 1 S / C . N 00_ 0, City J /I-,& • 6 c -ra State t-1. Zip 17.2 .1 O
License Holder (Print): h , '(' c-C-V,..4 c 3 •
State Certi .tion/Registration #
ir
Notarized Signature -- - -- -- —
aS ! s DEBORAH AM 1 • .. - ,—.�j _ ------ `,
r=. MYC + 1� ",l Au. cribed befor t' i
1 - e s
> � ' ExP -� � . I day • � 4. ,/ � 20 7 Thru Notary Public Underwriters I � / `, / fff
K ror .w ..
• _ tary Public