781 Cavalla Rd 2013 temp pole CITY OF ATLANTIC BEACH
I 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
13-00003880 Date 12/31/13
Application Number 781 CAVALLA RD
Property Address . .
Application type description ELECTRIC ONLY
Property Zoning
• . TO BE UPDATED
0
Application valuation ----
Application desc
TEMP POLE ----
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Contractor
Owner ------------------------
______
VILANO ELECTRIC INC
JAXCORNERSTONE PARTNERS LLS PMB 394
1415 ATLANTIC BLVD FL 32266 JACKSONVILLE BEACH FL 32250
NEPTUNE BEACH (904) 641-0868
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Permit . ELECTRICAL PERMIT
Additional desc Plan Check Fee 00
Permit Fee 90 . 00 0
Valuation
Issue Date 6/29/14
Expiration Date ------ -------
_ _ __ ---------------------------- 2 . 00
____ --------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARG 2 . 00
STATE ELEC DBPR SURCHARGE -------
----
----------------- ------------------------------
Credited
Due
Paid
Fee summary Charged
- ------- ----------
80 . 00 90 . 00 . 00 00. 00
Permit Fee Total 00 00 . 00
Plan Check Total 4 . 00 . 00 . 00
Other Fee Total 4 . 00 00 . 00
Grand Total
94 . 00 94 . 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
�p
JOB ADDRESS: I d I �. 'i4 V 14 L L i9 P`' _PERMIT#
NEW SERVICE MOverhead ❑ Underground ❑ Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family (Main) Service
[10-100 amps ❑101-150amps ❑151-200amps El amps #of Unit Meters
Aemporary Pole ❑ 104 amps
SERVICE UPGRADE El amps [ICT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps 11amps ❑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
El Swimming Pool ❑ Sign El Smoke Detectors_Qty ❑Transformers KVA El Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$ 3 00, G v
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.
62 `" Nl S S ti Ll-(-Phone Number
Property Owners Name � Office Phone Fax(,LI-G 2 Zv
Electrical Company Vj _
Co.Address: � 'L (d 19 1� �r h �1 �c� `IL1 ��� ' --3—ay- State Zip ',
License Holder(Print): e tZ State Certification/Registration#E -QQQ2-C'i'`13�
Notarized Signature of License Holder
Sworn and subscribed before me this��—day of YJ C,C�C IYIYJ-(,r 20 13
Signature of Notary Public 4-