1675 Selva Marina Dr temp pole 2014 CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number
14-00000158 Date 2/03/14
Property Address . . . . . . 1675 SELVA MARINA DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . 0
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Application desc
temp pole TP01 ----------
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Contractor
Owner
LINDLEY TOLBERT DESIGNS ERICKSON ELECTRICAL CONTRACTOR
465 BEACH AVE 2807 ST JOHNS BLUFF
JACKSONVILLE FL 32246
ATLANTIC BEACH FL 32233 (904) 641-9090
-----Permit
ELECTRICAL PERMIT
Additional desc • . TEMP POLE plan Check Fee . 00
Permit Fee . . . . 90 . 00 0
Valuation . .
Issue Date • • • . 8/02/14
Expiration Date
2 . 00
Other Fees
• STATE ELEC DCA SURCHARGE2 , 00
STATE ELEC DBPR SURCHARGE
---------------------------------------Paid----
Credited
Fee summary g ----Due
Charged ---
00 . 00
Permit Fee Total 90 . 00 90 . 00 00 . 00
Plan Check Total • 00 • 004 . 00 4 . 00 . 00 . 00
Other Fee Total 94 . 00 . 00 . 00
Grand Total 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) 24�7--5826 Fax(904) 247-5845
.TOB ADDRESS: f ��� � � �—�y C,- I( y 1 C�,A�,�0— IN K PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS (y) AMPS _ ( rOLTS i� PHASE
VALUE OF WORK$
NEW SERVICE b�O erhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps101-150amps ❑151-200amps ❑ amps # of Unit Meters
' emporary Pole __tt)Qamps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 11200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 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 ❑ Sign ❑Smoke Detectors_Qty El 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 El 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 o(3C 0 Phone Number .-I 1
Electrical Company Vk l C ASO N �=�-�C C- Office Phone �q ( -9D qO Fax —9a?3
Co.Address: '310S c N V City S State. Zip :3-/9 a D,q
License Holder(Print): F�� �- State Certification/Registration# eCooO f 3a b
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public