347 Skate Rd 2013 temp pole CITY OF ATLANTIC BEACH
SS
J 800 SEMINOLE ROAD
. � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002359 Date 3/25/13
Property Address . . . . . . 347 SKATE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
TEMP POLE 60 AMPS
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Owner Contractor
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COGORNO, GINO A ALDERMAN ELECTRIC LLC
8802 RUNNYMEADE RD 4622 ORTEGA FARMS CIR
JACKSONVILLE FL 32257 JACKSONVILLE FL 32210
(904) 591-1092
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/21/13
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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
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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) 247-55n826 Fax(904) 247-5845
JOB ADDRESS: #
,IEA INFORMATION REQUIRED ON ALL PERMITS _AMPS VOLTS PHASE
JVALUE OF WORK$ oOJ W r`
NE E / ICE Overhead ❑ Underground EDUnderground up Pole
FDResidential(Main) Service
UO-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
Commercial(Main) Service
J0-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
E.-Multi-Family(Main) Service
CO-100 amps ❑101-150amps 07151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
F7100 amps ❑150amps 1-1200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
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)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
C 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 Phone Number
Electrical Company�/��l f� r yl'► /_",l/_-�G` T/�/CI%�,� Office Phone l Fax
Co. Address: �'� �� y4 aA19 ��+C n1 City C/ States Zip
License Holder(Print): �=S �� I5 4*1 State Certification/Registration#
Notarized Si nature
SHIRLEY L GRAHAM
MY COMMISSION#OD 957M f e me this o a h 20 /3
*i r_
EXPIRES:February 14,20'14
Bonded Thru Notary Public Unde %er' ture of Notary bll
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