701 JASMINE ST TEMP POLE 13-3069 CITY OF ATLAN'T'IC BEACH
j 800 SEMINOLE ROAD
J = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00003069 Date 7/16/13
Property Address . . . . . . 701 JASMINE ST
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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CURRY, LESLEE K. MILLENNIUM ELECTRICAL CONTRAT
12485 AIRPORT ROAD 6380 PHILLIPS HWY
BILOXI MS 39532 JACKSONVILLE FL 32216
(904) 636-7575
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/12/14
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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: PERMIT# t3')L 3 1
JEA INFORMATION REQUIRED ON ALL PERMITS c 6 A � j VOLTS P ASE
VALUE OF WORK$
G
NEW SERVICE O erhead ❑ Un rground ❑T Underground up Pole
Residents ai Service
0-100 amps 101-150amps 1-200amps amps # of Meters
Commercial(Main) Service
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
�0 amps 101-150amps 1$1-200amps � G fi�i � �`,� o it Meters
emporary Pole amps I (GJ !i OS/ r�j
SERVICE UPGRADE —amps CT Service s am
P
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMOD LSA _ ,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps I `❑31-100amps 101-200amps
Appliances: 30amps 31-100amps 101-200amps
A/C Circuits: `— 0-60amps 61-100amps
Heat Circuits: 1 # circuits @ kw _
Number of Lighting ets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
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 A,//e✓t;1/Um el"J" Office Phone 9V 51-4/,3 6-7f7S-Fax 90r-1-34 7S`l(
Co. Address: �� 6�r` ��`��' S �f���+� City ��S X State Zip 3.2 G'
License Holder (Print): QAW-A� State Certification/Registration# r e t S 000 4 �1
N z.R gnat�4C Licenye er A( 211M
LORI M BYRD fk
MY COMMISSION 0 EE222694 wo and subscribed before me this � day of J20 13
EXPIRES Augu*09.2018 Signature of Notary Public
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