The URL can be used to link to this page

306 12TH ST TEMP POLE JAI CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 9 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ELEC-517 Job Type: ELECTRIC ONLY Description: TEMP POLE 100 AMPS Estimated Value: Issue Date: 11/26/2014 Expiration Date: 5/25/2015 PROPERTY ADDRESS: Address: 306 12TH ST RE Number: 171923-0000 PROPERTY OWNER: Name: TOUSEY JR, CLAY B & PHYLLIS, Address: 2225 ALICIA LN GENERAL CONTRACTOR INFORMATION: Name: LORE ELECTRICAL CONTRACTORS Address: 21ONROSCOEBLVD QA MICHAEL LEE LORE 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: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,Fl, 32233 Ph(9 247-5181226 Fax(904) 247-5845 7 Z --I 7 PERMIT# JOB ADDRESS: . 2- JEA INFORMATION REQUIRED ON ALL PERMITS S VOLTS PHASE VALUE OF WORK$_� NEW SERVICE El Overhead F-1 Underground Underground up Pole OResidential(Main) Service 0 151-200amps am S #of Meters [10-100 amps 0 10 1-I 50amps — P D Commercial(Main)Service 0 amps OCT Service amps 00-100 amps E1101-150amps 0 151-200amps Conductor Type Size ZDM Iti-Family(Main)Service El 151-200amps 0_____amps #of Unit Meters 0-100 amps 0101-150amps 0 emporary Pol,e O_JA�amps SERVICE UPGRADE r�_amps 0 CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) OCT Service amps F,100amps 0150amps .. E1200amps 0 amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps —3 1-1 00amps —101-200amps Apoliances: 0-30amps —31-100amps _101-200amps Ale-' Circuits: 0-60amps _61-100amps He4t Circuits: # circuits @ kw Nu#iber of Lighting Outlets, Including Fixtures: I OTHER iLECTRICAL PROJECTS ty 0 Transformers KVA 0 Motors hp D Swimming Pool D Sign 0 Smoke Detectors__Q FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK Qty_volts/amps REPAIRS/MISCELLANEOUS UG I I Replace Bumt/Damaged Meter Can 0 Safety Inspection 0 Panel Change 0OHto 0 9ther: v___ k Vended or abandoned for six months. I hereby certify that I have Permit becomes void if vork does not commence within a six month period or wor is sus read this a0plication and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified ok 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. Propertyl,Owners Nam4eO Phone Number OfficePhone Z7_�-11V_? Fax_jZL�d-1 Electric4l Company State Z/—Zip Co.Add�ess: City�� License Holder(Print): S e Certification/Registration# Notarized Signature of License Holder ��ay Kf()\/ 20 Before me this JENNIFERWALKER My COMMtSsJON#FF 011 4n ApdI 24,20117 Signature of Notary Public EXPIRES' UnderwrOrs Bonded Thru NO rypub"c