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170 Selva Marina Dr temp pole 2014 �t!�Lyrfv� CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 - INSPECTION PHONE LINE 247-5814 Application Number . . . 14-00001107 Date 7/14/14 Property Address . . . . . . 1700 SELVA MARINA DR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------- Application desc temp pole 40 amps ---------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- CARLIN, MICHAEL J KNIGHT ELECTRIC LLC 1700 SELVA MARINA DR 908 11TH AVE S ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250 (904) 247-9884 ------------------------------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . Permit Fee 90 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 1/10/15 ----------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------- 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. q� cy ELECTRICAL PERMIT APPLICATION !q. CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904) 247-5845 L� C JOB ADDRESS: S !ra AWA 0/7 PERMIT# 7 1 U JEA INFORMATION REQUIRED ON ALL PERMITS JO AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main) Service 00-100 amps ❑101-150amps ❑151-200amps El-amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service PO-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters E Temporary Pole ❑ y0 amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 1-1200amps ❑ amps 0C 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 []Transformers KVA --Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑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 ApC'l1 r � Z�( L Office Phone a-q7-M_—Fax 2y7- #4� 7U 1 City � - State�Zip 72'2S_6 License Address: - License Holder(Print): ice.- IM State Certification/Registration# Ef(30(252;) Notarized Signature of License Holder Before me this of 20 Signature of Notary Pub