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Permit Temp Pole 445 Sargo Rd 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002310 Date 3/13/13 Property Address . . . . . . 44S SARGO RD Application type description ELECTRIC ONLY Property zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------- ----------------------------------------------------- Application desc temp pole ----------------------- ----------------------------------------------------- Owner Contractor ------------------------ IMPULSE ELECTRIC BAKER, BEAUTY M 4271 YVONNE TERRACE 445 SARGO ROAD FL 32068 ATLANTIC BEACH FL 32233 MIDDLEBURG (904) 214-422S ---------- ----------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc - - 90 . 00 Plan Check Fee . 00 Permit Fee . . . . Valuation . . . . 0 Issue Date . . . . Expiration Date 9/09/13 -------------------------------- ------------------------------------STATE ELEC DCA SURCHARGE 2 . 00 Other Fees . . . . . . . . . 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 /0 JOB ADDRESS: S/(f f-010 gt>I —PERMIT# 15Z�;? JEA INFORMATION REQUIRED ON ALL PERMITS le 0 AMPS 2 140 VOLTS PHASE VALUE OF WORK$ NEW SERVICE 0 Overhead E] Underground Underground up Pole EResidential(Main��ice –1, 01-150amps El 151-200amps El amps of Meters ommercial am ervice E30-100 amps Ell -150amps 11 151-200amps amps _0 CT Service amps Conductor Ty e .- Size EMulti-Family(Main) Service CO-100 amps [1101-150amps El 151-200amps F]—amps of Unit Meters XTemporary Pole amps SER ICE UPGRADE am s _1 CT Service amps NEW FE ER(ADDITIONS,ACCESS STRUCTURES,ETC.) E110 s El 150amps 00amps L-I_amps ECT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps Appliances: 0-30amps 3 1-1 00amps 101-200amps A/C Circuits: 0-60amps 6 1-1 00amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS L'Swimming Pool El Sign El Smoke Detectors_Qty []Transformers_KVA []Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS []Replace Bumt/Damaged Meter Can []Safety Inspection L]Panel Change OOH to UG E Other: 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 kikl� Phone Number Electrical Company 1E, E�4 Office Phone "W_214-��_­Fax Co. Address: City Vi LMC�EZLV& - State Zip License Holder(Print): State Certification/Registration r(prin* Notarized Signature o LE G ANI e th adayR _20 r9� r m is Y L 4�0e, SHIRLEY I-GW41 [)D 20 My Co M W�a'14, -10N DD Or me this da S My COMMItFe IN 14 "Fblua Pu 'j EypjRE& e , f 'ic b111 NdaryPublic edT 0 d 13ondedThrLI re of Notary Public -7,