1209 W Plaza 2013 temp pole CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
0 771 - . - ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002750 Date 5/29/13
Property Address . . . . . . 1209 W PLAZA
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
TEMP POLE
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Owner Contractor
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VONN BRIAN S & CHERYL F KNIGHT ELECTRIC LLC
8165 CORALBERRY LANE 910 11TH AVE S
JACKSONVILLE FL 32244 JACKSONVILLE BEACH FL 32250
(904) 247-9884
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . TEMP POLE
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/25/13
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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
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: ►a0 q w r_-S-� plaza PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS a_40 VOLTS ' PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
]—Commercial(Main) Service
u0-100 amps 0101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
C Multi-Family(Main)Service
,50-100 amps ❑101-150amps [7151-200amps ❑ amps # of Unit Meters
ZTemporary Pole ❑_amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
X7100 amps ❑150amps 0200amps ❑ 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 JTransformers KVA DMotors 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 0 O to UG
❑: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 Y-V-\% l-E- ec-trI _ Office Phone acoFax;H)-91� J_7
Co.Address: City 7�a X State Vk_ Zip
License Holder(Print): fyNcf S -1- State Certification/Registration# 1301a5o�
Motarized Signature of License Dodder
RAHAM fore me this day o 0 J
MY COMMISSION#On 957760
%�. EXPIRES:February14,2014AL I
"•;oF
Bonded 7hmNotary PublicUnderwriters ignature of Notary Public