2050 Beach Ave 2014 Temp Pole 1�
c�
ns CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000483 Date 3/31/14
Property Address . . . . . . 2050 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 0
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Application desc
temp pole
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Owner Contractor
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CDL AB LLC KNIGHT ELECTRIC LLC
335 11TH ST 908 11TH AVE S
ATLANTIC BEACH FL 322335934 JACKSONVILLE BEACH FL 32250
43-4928 (904) 247-9884
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . TEMP POLE
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/27/14
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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
V
Ph(90 ) 24 (904 4 26 247-5845
7-58_Fax )
JOB ADDRESS: y /) PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2y O VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps L amps [ICT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 11101-1 50amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ 1{0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 11200amps ❑ amps ❑CT 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 El Smoke Detectors_Qty [I Transformers KVA El Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change [I 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 (ZLC-t`2( < C(- L Office Phone Fax
o ' �{ �2
�� Cit �I- State ii "- Zip
Co.Address: y ��
zO
License Holder (Print): T r/c k ate Certification/Registration# CVIXIZ-fZ3
NotarizeME%
ense Holder
State of F�o,,��vo and subs b fore met day of 20
ahamo o;e 08699(Sig ture of Not