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1322 OCEAN BLVD TEMP POLE 1, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003605 Date 10/31/13 Property Address . . . . . . 1322 OCEAN BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TEMP POLE 100 AMPS 240 VOLT 1 PHASE ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- LINDLEY TOLBERT DESIGN ERICKSON ELECTRICAL CONTRACTOR 465 BEACH AVE 2807 ST JOHNS BLUFF ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 641-9090 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/29/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 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 OC jVvy) 800 Seminole Rd, Atlantic Beach, FL 32233 1v Ph(904) 247-5826 Fax (904) 247-5845 / �) l.l'+1`art C_ U 1^.W 1�_ PERMIT# 3-- JOB ADDRESS: 31t7 V� JEA INFORMATION REQUIRED ON ALL PERMITS l D 8 AMPSOLTS PHASE OL VALUE OF WORK$ ZK;�" d ❑ Underground E3Underground up Pole Residential(Main)Servjce =_0-100 amps t-1101-150amps 1151-200amps amps #of Meters Commercial(Main) Service 10-100 amps 101-150amps ❑151-200amps l amps CT Service amps Conductor Type Size Multi-Family(Main)Service ❑0=100 amps F]101-150amps :_1151-200amps ❑ amps # of Unit Meters SERVICE UPGRADE CJ amps -i CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) _-1100 amps _ 150amps 200amps i i amps JCT Service amps ADDITIONS,REMODEL REP IRS,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 Fi OTHER ELECTRICAL PROJECTS JSwimming Pool Sign Smoke Detectors_Qty ]Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK S REPAIRSIMISCELLANEOUS !Replace Burnt/Damaged Meter Can Safety Inspection iPanel 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 l� © - Office Phone (PAP1 0A 0 Fax1 X'f 3 Co. Address: FUb- CityMY State Zip License Holder(Print): awy=: �� State Certification/Registration# C �Q Notarized Signature of License Holder Y'P JENNIFE WR nMER Sworn and subscribed before me this day of 0 20 MY coMMISSioN#FF 011480 j EXPIRES:Apnl 24,eonrs Signature of Notary Public . fir. Bonded Th,Notary Public Underwft