Loading...
840 Paradise Ln 2014 temp pole CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J y ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ELEC-444 Job Type: ELECTRIC ONLY Description: temp pole Estimated Value: Issue Date: 11/17/2014 Expiration Date: 5/16/2015 PROPERTY ADDRESS: Address: 840 PARADISE LN RE Number: 172376-0145 PROPERTY OWNER: Name: SPRINGFIELD BUILDING LLC Address: 1881 BEACH AVE GENERAL CONTRACTOR INFORMATION: Name: MARCO ELECTRICAL CONTRACTORS Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH Phone: - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Temporary Electrical Service $35.00 Trade Permit Base Fee $55.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 j 1Ph(904)247-5826 Fax (904) 247-5845 JOB ADDRESS: lS J PERMIT # JEA INFORMATION REQUIRED ON ALL PERMITS AMPS ` " VOLTS % PHASE VALUE OF WORK$ 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 amps —CT Service amps Conductor Type Size Multi-Family(Main) Service 0-100 amps 101-150amps 151-200amps amps # of Unit Meters Temporary Pole)_A4n_amps SERVICE UPGRADE amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps 150amps ❑200amps ❑ amps ECT 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 E Sign Smoke Detectors_Qty El Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS I 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. 11 Property Owners Name' r� ".0�'j k' j r�� i u v,s Phone Number !n Electrical Company ( �Oci Office Phone 'Lf-)1­15- 3,Y� Fax rL4t-A y-.W9 Co. Address: ��.�.�1' ®,�o City Mr_L, � ,� State Zip a �i License Holder(Print): State Certification/R 'stration# f.iia ll� Notarized 1k rfVo F &ense Holder NOTARY PUBLIC Sworn ansubscribed before me this day of Y-Pm&1 20 14 « STATE OF FLORIDA Comm#EE036917 Signature of Notary Public A oIU FRrires 12/11/2014 "