2446 Seminole Rd Temp Pole CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001361 Date 8/21/14
Property Address . . . . . . 2446 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
temp pole
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Owner Contractor
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PUOPOLO, JOSEPH M & PAULA A LORE ELECTRICAL CONTRACTORS
2446 SEMINOLE RD 210 N. ROSCOE BLVD
ATLANTIC BEACH FL 32233 PONTE(904) 27DRA 31143ACH FL 32082
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 90 . 00 0
Issue Date Valuation
Expiration Date . . 2/17/15
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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---
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Permit Fee Total 90 . 00 90 . 00 00 . 0000 . 00
Plan Check Total . 00 . 00
00 . 00
Other Fee Total 4 . 00 4 . 00 . 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
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: `7 Y /N r— PERMIT#
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VALUE OF WORK$ �
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
-Residential(Main) Service
CO-100 amps -101-150amps - 151-200amps G amps # of Meters
-Commercial(Main) Service
Fj0-100 amps 101-150amps l 151-200amps --amps CT Service amps
Conductor Type Size
M lti-Family(Main)Service
Amporary
-100 amps 101-150amps 11 151-200amps - amps # of Unit Meters
Pole Uamps
SERVICE UPGRADE l] amps U CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
U�100 amps -!150amps U200amps Lamps -CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 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 ❑Smoke Detectors_Qty -1 Transformers KV A 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 4140 dla ' Phone Number
1 Office Phone 2 73�/��, Fax ,3
Electrical Company /co -
��� _/i/ l/ CityK4: State Zipy�
Co. Address: v
License Holder (Print):H, --� � State Certification/Registration#eR1-?Q/3d?.�
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public