469 11th st elec V-- r. 2C. 2014: 12 : 04PM Summerville Catholic School No. 4799 P. 2
ELECTRICAL PERMIT APPLICATION
CITY OF An Anis BEACH
800 Seminole Rd,Atlantic Eeach,VL 32233
Pb(404)247-5926 Pax(404)247.5845
JOB ADDRESS: 469 ti Street,Altantic Beach,FL,32233 P& p#
.IEA INFORMATION REQU ON ALI,PERM VOLTS PBIA$lir
Y LUE " $6,600.00
TIRW SER CE ❑ Overhead (� Undergro Undcreraund up Pole
rlReA dendal(Main cc
4 C 101-150"pt 5F200am pa 0 of Meters
Xcipinmerdal(Main)Service
I00 amps C 101,150amps C 151-200amps J amp$ 0 CT Service amps
Conductor Typo Size
nMultiXiLmily(Main)Servlae
1.4100 amps C 141.1502mpA n 15b2(ftsnps 0 Amps 4 of Unil Meters
rlTemporary Pale F,__ .amps
SERVICE UPGRADE ❑ temps n CT Service amps
NEW FEEDER(ADlAZIO1NS,ACCESSORY STRUCTURES,RTC.)
P 100 iwnpa n 150ampc f1200amps ❑ amps ❑Cr Scrvico amps
ADDITIONS,REMODELS,REPAI.R5,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Osstleta/Switches: 0-311rrngR 31-100ompA 101.200amps
Appliances: 0.3('antps 31-100Amps 101.ZODAMPS
A/C Circuits: 0.60amps 61-100amps
Heat Circuits: #cirovits @------kw
Number of Lighting Outlots,Including PjxtureA:
OTHER ELECTRICAL PROJECTS
7 Swimmingpool fi Sigh n Smoke Detectors_Qty C Transformers KVA U Motors hp
FIRE ALARM SYSTAM (Requires 3 sets of plana)
Qt volwamps PALUF DA WORK�
REPAIRSIMISCELLANEOUS
❑Replace BuruUDi uteged.Meter Can ❑Safotylnapeclion C Panel Change ❑OH to UG
7 Other:
FerrAh bmMC4%Vld if work does nor eonmmcn VAgan a six woof Perm of work is suspended m abandoned far six mamba I bavby cu1ify chat i hart
road Oda npplkation and know Lha same to be"a"coa)kl. All provisions of taws and oadinustas tovemiA;this wotk wlfl bo comp'A ohth wnklhtr
specified or nor.Tte permit docs not give ou'bority to violate doe provlilons of any odser erase or local law regulation eooscru_-tlon or the puforroaace of
construction. (954)993.4742
PropertyOwners Name Verizon Wrele0p Phoae Ntunber
(81a)956.4922 43 [84)9132.0892
Electrical 6etecomInc. rax-
Co. QffiCaPhono
Address: 9331 Easl.Fowler Avenue cit,Thonotosasm Sita FL zip 3950Z
License Holder(Print): Ronald Mooney State
to CorfificationlRtglsttatlon# FCA0022222
Noturked Vgnatare of Lkente Holder
ptr�K.eita�t Swom and subscribed befo ma this s�_day of 2�.� 20.�
MyCONl11mw#{f0f474d �,�
pTM,176101,2ot7 Signature of Notary Public ,x�`�
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