298 Sherry Dr 2013 elec pole f Is CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
7-5814
INSPECTION PHONE LINE 24
Application Number . . . . . 13-00003835 Date 12/13/13
Property Address . . . . . . 298 SHERRY DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 --------------
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Application desc
REPLACE POWER POLE
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Owner Contractor
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DUVAL-CO.BD. PUB.#227 QUALITY ELECTRICAL SERVICE INC
1701 PRUDENTIAL DRIVE 2758 ERNEST ST
JACKSONVILLE FL 32207 JACKSONVILLE FL 32205
(904) 388-9198
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . REPLACE POWER POLE Plan Check Fee . 00
Permit Fee . . . . 90 . 00 Valuation . . . . 0
Issue Date . . . .
Expiration Date 6/11/14 -----------------------
2 . 00
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE
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
(904) 247-5826 Fax(904) 247-5845
rr% 'Dr;ye- PERMIT
JOB ADDRESS: �e
-j
JEA INFORMATION REQUIRED ON ALL PERMITS ;2,b C> AMPS PHASE
� VOLTS
VALUEOFWORK$ gV&0—
NEW SERVICE El Overhead F-1 Underground Underground up Pole
[]Residential(Main) Service
E10-100 amps Li 101-150amps F1 151-200amps Ei_ainps #of Meters
El Commercial(Main)Service
[10-100 amps El 101-1 50amps E 151-200amps Ei_amps El CT Service amps
Conductor Type Size
E]Multi-Family(Main)Service
[10-100 amps [110 1-15 Oamps 0 151-200amps O_amps #of Unit Meters
DTemporary Pole [I amps
SERVICE UPGRADE []—amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) [I CT Service amps
[1100amps [1150amps 0200amps []______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 Lightini—Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS Transformers_KVA [I Motors hp
El Swimming Pool D Sign [I Smoke Detectors—Qty 11
FIRE ALARM SYSTEM (Requires 3 sets of plans) "LUE OF WORK$—
Qty_volts/amps
REPAIRS/MISCELLANEOUS Panel Change [I OH to UG
[]Replace Bumt/Damaged Meter Can 0 Safety Inspection 11
-��Qther: ket" "W
th period or work is suspended or abandoned for six months. I hereby certify that I have
Permit becomes void if work does not commence within a x mon
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name L4V Phone Number
Electrical Company -Office Phone
City :y 0
Co.Address: -=8 ervLej+ Ist &Jfn$ I v0te Statel�E�Zip 3 ZZ-6 J—
License Holder(Print): R&w4iro State Certification/Registration#
Notarized Signature of License Holder 00,
Before me this 3 day of 20 OA — 0
JENNIFER WALKER
ature of Notary Public
My COMMISSION#FF 011480 Sign
EXPIRES:Ap6I 24.2017
Wded Thm NOWY Pubk underwters