Permit New Temp Pole 366 10th St 2012 U"T
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001693 Date 11/14/12
Property Address . . . . . . 366 10TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
New Temp Pole SO amps
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Owner Contractor
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CDL AB LLC KNIGHT ELECTRIC LLC
CHRIS LAMBERTSON 910 11TH AVE S
357 12TH STREET JAX BEACH FL 32250
ATLANTIC BEACH FL 32233 (904) 247-9884
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . TEMP POLE FOR NEW SFR . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/13/13
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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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
J-6
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF Al I
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: PERMIT# 2-
JEA INFORMATION REQUIRED ON ALL PERMITS 50 AMPS �0 VOLTS PHASE
VALUE OF WORK S
NEW SERVICE El Overhead F-1 Underground D Underground up Pole
E Residential(Main)Service
110-100 amps E 101-150amps [I 151-200amps Ll amps #of Meters
E Commercial(Main) Service
E 0-100 amps El 10 1-I 50amps E 151-200amps E______amps ECT Service amps
Conductor Type Size
EMulti-Family(Main) Service
L
�01100 amps ;A01-150amps E 151-200amps E amps #of Unit Meters
TTemporary Pole 0' JO_amps
SERVICE UPGRADE E-amps E CT Service_amps
i
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
Li100amps E150amps E200amps El amps EICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outi s/Switches: 0-30amps 31-100amps 101-200amps
Appl Ances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @__�w
Num)er of Lighting Outlets, Including Fixtures:
OTHER E�ECTRICAL PROJECTS
ri Swimming Pool El Sign 11 Smoke Detectors_Qty E Transformers KVA El Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK$
REPAIRS[MISCELLANEOUS
E Replace Burnt/Damaged Meter Can E Safety Inspection []Panel Change Ll OH to UG
[.]Otqer:
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 und 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 Phone Number
Electrical Company Office Phone Fax
Co.Address: city Ac &k state TI, zip 72z53
License Holder(Print): State Certification/Registration
Notarized Signature of License Holder
ribed before thi day(o_f 2012,
!�N �jjw%rn subs
AWASION4 E)957760
r-AP1968:POMA 14,2014
SondeoThN Wfity N& of Notary Public L
2 U