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1322 OCEAN BLVD TEMP POLE (2) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 f Application Number . . . . . 13-00003781 Date 12/04/13 Property Address . . . . . . 1322 OCEAN BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TEMP POLE ---------------------------------------------------------------------------- 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 . . 6/02/14 ---------------------------------------------------------------------------- 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 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 .TOB ADDRESS: 3 ©C C�—, -131J Cl • —TP--0) I PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS /d o AMPS �2c 0 VOLTS / PHASE VALUE OF WORK$ NEW SERVICE [� Overhead ❑ Underground ❑T Underground up Pole ,--Residential(Main) Service 110-100 amps --1 101-150amps1151-200amps amps #of Meters I Commercial(Main) Service I !0-100 amps P 101-150amps ��151-200amps 7 amps ---CT Service amps Conductor Type Size i Multi-Family(Main) Service 110-100 amps F 101-150amps -1151-200amps amps # of Unit Meters XTemporary Pole 0 a amps SERVICE UPGRADE _] amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 11100 amps ❑150amps 17200amps amps ❑CT 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 CI Sign i 1 Smoke Detectors_Qty ; I Transformers KVA 1 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRSIMISCELLANEOUS Replace Burnt/Damaged Meter Can I Safety Inspection I 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. 1 hereby certify that 1 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 36660 Phone Number Electrical Company SV A) r,L F '-J�/64 L CONI' /n/G Office Phone (��f—90 90 Fax Co. Address: 13'7,;�,5 t3 C--1L3 L -V.A City State A'-t. Zip 11 License Holder(Print): ,P 0 k 12 I G tJ State Certification/Registration# ECOoO/ 3.-La Notarized Signature of License Holder Before me this day of 20 Signature of Notary Public