151 Seminole Rd 2014 Temp Pole CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . 14-00000261 Date 2/21/14
Property Address . . . . . . 151 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
TEMP POLE 100 AMPS
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Owner Contractor
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SHERWOOD, BRIAN D AL STEPANELLI ELECTRICAL
151 SEMINOLE RD PO BOX 7557
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32238
(904) 388-9178
-----Permit . .
. ELECTRICAL PERMIT
Additional desc . .
Permit Fee 90 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/20/14
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Other Fees .
. STATE ELEC DCA SURCHARGE 2 . 00
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
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 1 j S12MXLrQD I,E R13 3 2231 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS O AMPS 2+0 VOLTS PHASE
VAL UE OF WORK$ So o°C
NEW SERVICE Y?Overhead ❑ Underground ❑T Underground up Pole
Residential(Main) Service
-0-100 amps 1.-!101-150amps I_]151-200amps L_1 amps #of Meters
Commercial(Main) Service
E0-100 amps 101-150amps J 151-200amps ❑ amps - CT Service amps
Conductor Type Size
Multi-Family(Main)Service
`0-100 amps E 101-150amps 0:151-200amps Ll amps #of Unit Meters
?gemporary Pole lr Ip O amps
SERVICE UPGRADE ! amps - CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps _1150amps _'200amps 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 E Sign -]Smoke Detectors_Qty I Transformers KVA -Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VAL UE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can '_7 Safety Inspection J Panel Change C':,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 At- ST-;_:-r=ajQ .�ta F-%-G-CXn-2-C- Office Phone 35$'ciiZ6 Fax 3j3'1-F32_?
Co. Address: �� �.5 ^? City T?97° StateiL Zip 3 22`30'
License Holder(Print): 4A(R-7
(A State Certification/Registration# & o DO D 1) Q-
Notarized Signature of License Holder �/
Notary Public,State of R
TINA E.JONES-LEFEU orn and subscrib before me this of 20—
My Comm.Expires May 18-Mgn
Commission No.EE 1 ature of Notary Public 'fi -