96 Ocean Blvd Temp Pole 2014 �s CITY OF ATLANTIC BEACH
Ssi 800 SEMINOLE ROAD
1 r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
F
13-00003568 Date 10/23/13
Application Number . 96 OCEAN BLVD
Property Address . . . . .
Application type description ELECTRIC ONLY
Property Zoning RES GEN MF DISTRICT
Application valuation 0
Application desc
TEMP POLE 200AMPS 240 VOLTS 1 PHASE -----------------------
---------------------------------
Contractor
Owner -----------
-------
BORDERS, RONALD ERICKSON ELECTRICAL CONTRACTOR
BO
8 RDERFIRONALD
LN 2807 ST JOHNS BLUFF
JACKSONVILLE FL 32246
HILTON HEAD ISL SC 29928 (904) 641-9090
____ -
----------------
Permit
. ELECTRICAL PERMIT
Additional desc . Plan Check Fee .00
Permit Fee . . . . 90.00 0
Valuation •
Issue Date • • • • 4/21/14
Expiration Date .
----------------------------
--------------------
STATE ELEC DCA SURCHARGE 2.00
Other Fees
STATE ELEC DBPR SURCHARGE 2.00
---- --------
---------------------------------------
Fee summary Charged Paid Credited Due
---------- ---------- -
.00 .00 .00
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total 400 4.00 .00 .00
.
Other Fee Total 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
80(1 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
(�,1 � �nY t\.1 •(/►�lid �;-(I��M`�t�,�Z�3 PERMIT#
JOB ADDRESS
AMPS a f D VOLTS _PHASE
JEA INFORMATION REQUIRED ON ALL PERMITS �Q._
VALUE OF WORK f
NEW SERVICE El Overhead ❑
Underground ❑►Underground up Pole
']Residential(Main)Service _200amps f] amps #of Meters
"]0-100 amps ❑101-150amps
C'Commercial(Main)ServiceC1 stops FCT Service amps
i 0-100 amps i lOI-150amps '115 1-200amps
Conductor Type Size
1!Multi-Family(Main)Service f.151-200amps I amps #of Unit Meters
i70-100 amps U 10},-150amps
*emporary Pole f]_amps
SERVICE UPGRADE U amps l I CT Service APs
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURESS'PTC-) 7CT Service amps
U100 amps 111508mps Ps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
outids/Sw0-30am s 31-100amps 101-200amps
Appliances:hes: P 31-100am s 101-200amps
Appliances: 0-60amps 61-100amps
A/C Circuits: P
Heat Circuits: #circuits @ kw
Number of Lighting Outlets,Including Fixtures:
OTHER ELECTRICAL PROJECTS Qty UTransformersKVA ❑MotorshP
USwimmingPool ❑Sign []Smoke Detectors
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK S
Qty volts/amps
WAHL% ELLANEOUSt1 1Panel Change f IOH to UG
I(Replace Burnt/Dantaged Meter Can I(Safety Inspection
Other:
njpj cam•-•;
a r
Pcrit b,catncs:r:..;, od:docs nal commrr.cc x ithir.a&ia All revisions of laws and ordinances Roverninp,this wort:will he comp)iai u ith mob:rt:.
lead this application and know same to be trite and correct. P
specified or not. Tl�e nertnit does not hive authority to violate the provisions of any other state or local law remtlation rnnstnrcti^^or the nerfnrmance of
constn,ctioa
Phone Number_
Property Owners Name Nt 1:Wv
(NY ick
,
�..� 511
City State Zip ZZ
V
Co..1%ddress: r\ l
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lnlder(Print): 'P,(1 ZSR 2-11 1 �
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EXPIRES:Apd124,2017
= t ter,, ature of Notary Publi