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587 Beach Ave temp pole 2015 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD > 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: 15-ELEC-19 Job Type: ELECTRIC ONLY Description: TEMP POLE Estimated Value: Issue Date: 1/8/2015 Expiration Date: 7/7/2015 PROPERTY ADDRESS: Address: 587 BEACH AVE RE Number: 170157-0000 PROPERTY OWNER: Name: CRABTREE, RR Address: 8777 SAN JOSE BLVD PROPERTY OWNER: Name: MOQUIN, KIRK &ANNE MARIE, Address: 2375 S PONTE VEDRA BLVD GENERAL CONTRACTOR INFORMATION: Name: TRI COUNTY ELECTRICAL Address: 11637 E COLUMBIA PRK DR QA KEVIN LEE WEIR 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: $94.00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: ,5Op?. &-aj A V�-P— PERMIT# 13— 3SO0 JEA INFORMATION REQUIRED ON ALL PERMITS _Z .AMPS VOLTS / PHASE VALUE OF WORK$ 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 ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main) Service 0-100 amps 0101-150amps ❑151-200amps ❑ amps #of Unit Meters *emporary Pole 0_6Z_amps L/t,_'_ _"J 7,e �O SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps OCT 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 ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty volts/amps VALUE OF WORKS REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH 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. jkr-Ot—C, Property Owners Name / �r� �)m P/6 Phone Number / _ Electrical Company 1Y-I CO✓r l 7'ci �/e L. 4 /4r7 I/V Wffice Phone;440 Fax Co. Address: 1 (0 ] G- CtJ���►.�, a �/'I City C State Zip s �i License Holder(Print): i\ L- V" ', ' tate Certification/Registration#deF" O 4015700 Notarized Si nature oLic n e der `z'"" �" TAMMY PALL ' worn and subscribed before me this�_day of n v 20 Notary Public-State of Florida •: My Comm. Expires Jul 6.2016 Commission # EE 202003 ignature of Notary Public Bonded Through National Notary Assn.