1816 Atlantic Beach Dr Temp Pole and New Service CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
3ob ID: 15-ELEC-1 174
3ob Type: ELECTRIC ONLY
Description: TEMP POLE 60 AMPS
Estimated Value:
Issue Date: 5/19/2015
Expiration Date: 11/15/2015
PROPERTY ADDRESS:
Address; 1816 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: TRI COUNTY ELECTRICAL
Address: 11637 E COLUMBIA PRK DR QAKEVINLEEWEIR
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.
UO/I ri/ZU13 I U:03 '3042609688 TRICOUNTY PAGE 01/01
ELECTWCAL PERTNW ArPXJCAIUON
CUY OF ATLAPMCREACH
800 Seminole Rd,Atlaxdc Beack FL 32233
Ph(904)247-5826 Fax(904)247-5845
JoBADjmss:- -�% I La A+Lon I/-e 'FERWr# 60
L-07 IP
JEA MORNATION REQUIUD ON ALL PZRXffS A31PS VOLTS PUASE
VAL U8`OF WOB
Overhead nd DlUnderground up Pole
isin"-n—tial oWn)Service
LJO-100 amps 0101-150amps 1 0 —=ps of Meters
Wommercial(Main)Service
00-100 amps 0 10 1-1 50amps 0 151-200amps OCT Service amps
Conductor Type Size—
C]Multi-Family(Msda)Service
00-100 amps 0101-150amps 13151-200amps 0—amps of Unit Meters
Xremporary Pole 0-649—amps
SERVICE UPGRADE 0 amps 0 CT Service azms
NEW FEEDER(ADDMONS,ACCE45SORY S tv) Sq ETC.)
0100amps 0150amps 0200amps 0 -.amps OCT Service amps
ADMUONS,REMODELS,REPAIRS,DUUD-OM,ACCESSORy STRUCTURES�ETC.
oudeWswitches. 0-30-amps 31-100amps —101-200amps
Appliances: 0-30amps 31-100amps -101-200AMps-
A/C Ctreuits; 0-60amps 61-100amps
Haat Circuits: # oircuits &__�W
Number of Lighting Outlets, Including Fixtures:
OTEIER ELECTRICAL PROJECTS
0SWIMMMIgPoof OSign 0SmokeDetectorq, _Qty []Transformers KVA OMotois hp
FLU ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty—-volwamps VALUE OF WORX
REPAMS/MISCELLANZOUS
OReplace Bumt/Damaged Meter Can 0 Safety Inspection OPanel Change 0 OR to T-TG
Pernift becomes void if work does not commence within a six month pesiod or work is stispended or abandoned fbr six months. I bareby cartify that I have
read this application and know the sme to be true and correcL All provisions of laws and ordirmcce goviniing this work win be complied with whether
specified or not The permit does not give authority to violate tho provfsiom of my other statelor local law regulation construction or the perfibrinance of
construction.
Property Own=Name Ht� Phone Number
I-A-1COffice Phone Fax `9-10
Electrical Company fy- -
City state -�Rr ziv..
Co.Address. Mx-
License Holder(Print):
AX
er
13 TAOMY PALL d.,of 20 '.5
Notary Public-State of FlariTda -i9 L5—
worn and subscribed before
16
My Comm.Expires Jul 6,2016
202003
Commission#EE7 ' i_1,�&we of Notary Public
Not
Banded Thmugh Nmonai Notary Am,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1 175
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS
Estimated Value:
Issue Date: 5/19/2015
Expiration Date: 11/15/2015
PROPERTY ADDRESS:
Address: 1816 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: TRI COUNTY ELECTRICAL
Address: 11637 E COLUMBIA PRK DR QAKEVINLEEWEIR
Phone:
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
05/10/2015 10:03 9042609688 TRICOUNTY PAGE
ELF,cmcAL PERMU APPLIcATION
CM OF ATLAZMC)BRACH
800 Semiuole R4 AtIgzlic Beach,FL 32233
Ph(904)247-5926 Fax(904)247-5945
% 1 6 PERMIT#
J033 ADDRESS: � 0 ILa .- 4_ +LQ0L. 60-gae-k Drs. 11.,10—
L_07 to 51 0 0%-/,-r- -_dg."L co
JEA WORMATION RXQURIND ON ALL PERUff S �Dw AMPS VOLTS
VALUE OAV
SERVICE Dverhead AUnderground lUnderground up Pole
(NWn)Service
;�T #Of Meters
00-100 amps [3101-150amps X"5�(2 0�O P s 13____=Ps
oComwerdsd q"n)service 0 s OCT Service amps
00-100 amps 0101-150=PS [I 151-200amps
Coaductor Type size
0multi-Family(MaW)Service
rin-100 amps 0101-150amps 0 151-200amps o_=ps of Unit Met=
aporary Pole Amps
SERVICE UPGR&DE El amps D cr Service—=ps
NEW FEEDER(ADDMONS,ACCESSORY STRUCTURICS9 ETC.)
0100amps 0150amps 0200amps 0______.PMPS OCT Service amps
ADDMONS�REMODELS,REPAIRS,13UUD-OUTS0 ACCESSORY S'IR'UCnRWf ETC.
ouldewswitehes: 0-30-imps 31-100amps —101-200amps
Appliances: 0-30amps 3 1-100amps 101-200ipnps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @_____�W
Number of Lighting Outlets, Jacludmig Fixtures:
OTHER EUCTRICAL PROJE&IS ElMotors hp
aswimmingpoof ciSip E3SmokeDetectorq_Qty OTransformers 1KVA
FME AIARM SYSTEM (Requires 3 sets of plaw&Fire Alarm Checklist) VALUE OF WORK
Qty—vowamps
EXPArRS/MSCELLANNOUS opanal Change El 011 to UG
[3Replace BumvDamapd Meter Can 0 SafdY Inspection
Dcfter:
X month L—fh_cmby cartifY that I h ave
j�menoe,Wjthin a ix month petiod or work is wspended or abandoned fbr a'
'Pernaft becomes void if 00t 00 of laws and ordinanow govknfng this work wW be complied with whether
read this application and know tho same to be true aod correct. AH provisions I
specified or not The perroft don not give airthOrItY to violate the Provision.,of any other State or low Lzw repletion oonstruedon or the patf*rmance of
Property Owners Name 41 Le�1 4rlt Hi)_r-,% Phone Number
L. 40t,14- /Al Ree Phone
Electrical Company 06
_Fr_ VV prz, city State_'-,a_ziP
Co.Address: s0e cation/Registration 40
License Holder(Print):
-0 MOM PIC er:
TAMOMY PALL '6"— subscribed befte day of 20LS—
Notary Public-State of Florida vor)l and
16
My Comm.Expires Jull,2016
0
Commission#EE 2020037' i.=p-ature of Notary Public
Bonded Through Nabonal Rotary Aosq.