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1241 Ocean Blvd 2014 TEMP POLE CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000858 Date 5/28/14 Property Address . . . . . . 1241 OCEAN BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------- Application desc TEMP POLE ----------------------------------- Owner Contractor ------------- ------------------------ EZELIUS, PER OLOF KNIGHT ELECTRIC LLC 908 11TH AVE S 356 10TH ST ATLANTIC BEACH FL 32233 (ACK ONVIL E BEACH 884 FL 32250 ---------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee 90 . 00 . Valuation Issue Date Expiration Date . . 11/24/14 _ _ ------ Other Fees STATE ELEC DCA SURCHARGE 2 . 00 • STATE ELEC DBPR SURCHARGE 2 . 00 Fee summaryCharged Paid Credited Due ---------- . 00 ----- ---------- - . 00 Permit Fee Total 90 . 00 90 . 00 00 . 00 Plan Check Total • 00 . 00 Other Fee Total 4 . 00 4 . 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 �r 800 Seminole Rd, Atlantic Beach,FL 32233 t( Ph(904)247-5826 Fax(904) 247-5845 1 u 'l �L�I+1'V PERMIT JOB ADDRESS: 2` JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2� VOLTS PHASE VALUE OF WORK$ Under DUnderground up Pole NEW SERVICE ❑ Overhead F-1Undergroundg ❑Residential(Main) Service #of Meters ❑0-100 amps ❑101-150amps [I 151-200amps ❑ amps ❑Commercial(Main) Service ❑CT Service amps ❑0-100 amps ❑101-150amps El151-200amps ❑ amps Conductor Type Size ❑Multi-Family(Main) Service #of Unit Meters g0-100 amps ❑101-150amps ❑151-200amps ❑ amps ®'Temporary Pole ❑amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) s CCT Service amps ❑100 amps ❑150amps ❑200amps ❑ amP REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. ADDITIONS,REMODELS, 0-30am s 31-100amps 101-101 Outlets/Switches: p 31-l 00amps 101-200amps Appliances: 0-30amps 0-60amps A/C Circuits: 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Transformers-KVA ❑Motors hp ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) VAL UE OF WORK$ Qty volts/amps REpAIRS/MISCELLANEOUS El Inspection ❑Panel Change ❑OH to UG ❑Replace Burnt/Damaged Meter Can ❑Other: wo7k is—suspended or abandoned Permit becomes void if work does not commence within aCec month nOof laws and ordinances governi gfthis or d orlwo k will be co plied witx months. I h certifyh whether e read this application and know the same to be true and cor provisions 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 o construction. Phone Number Property Owners Name ,�( -�9 c/, F Electrical Company ax rV �r �Z�L �` �— Office Phone � p _ S city_ (� State F/ Zip Z 2 ALt�Co.Address: ( U/2523 NC-VL- Notarized j� w, � State Certification/Registration# 3 License Holder (Print): Notarized Signature of License Holder day of:j 20 Sworn and subscribed before me this Signature of Notary Public