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575 tIMBER bRIDGE NEW SERVICE TEMP POLE 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 30B INFORMATION: Job ID: 15-ELEC-1697 Job Type: ELECTRIC ONLY Description: NE\/\/ SERVICE 300 AMPS Estimated Value: Issue Date: 7/16/2015 Expi ration Date: '--1/12/2016 PROPERTY ADDRESS: Address: 575 TIMBER BRIDGE LN RE Number: None GENERAL CONTRACTOR INFORMATION: Name: MUNSON & BRYAN ELECTRICAL CO. Address: 3434 ST AUGUSTINE RD QA JOHN MICHAEL SCIOLINO Phone: FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 New Single Family Electrical $90.00 Trade Permit Base Fee $55.00 Total Payments: $149.00 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: &,/ 61 J 4-e- Z-,n, PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK S NEW SERVICE 0 Overhead Underground Underground up Pole �Residential(Main)Service a E10-100 amps 1110 1-1 50amps [I 151-200amps jec mps #of Meters D Commercial(Main) Service 00-100 amps Ll 101-150amps 11 151-200amps El_amps FICT Service amps Conductor Type Size DMulti-Family(Main)Service of Unit Meters E10-100 amps 0 101-150amps Uj 151-200amps amps OTemporary Pole 0 amps SERVICE UPGRADE 0-amps El CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps E1150amps 0200amps 0 amps EICT 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 0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty F1 Transformers KVA 0 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK S Qty_volts/amps REPAIRS/MISCELLANEOUS, UReplace Burnt/Damaged Meter Can 0 Safety Inspection L3 Panel Change [I OH to UG El 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. I I er Property Owners Name Phone Numb Electrical Company /11 4'A5O4 4",of4l 81X';_1 '�)ee_61c- Office Phone Fax :5-1 12d citv-5r6 df 6 A C411c state / t-zip 2 Co.Address: If tate Ce ication/R License Holder(Print): -16t-w egistration# U,-ocn 17'V� Z Notarized Signature of License Holder , 20 k-5 Sworn 9d/Subscribed before me this dayof JOSEPH GUY CAUCHON Cornmission#FF 24:4825 Signature of Notary Public Expires July 16,2019 S"d*d ThN Ttoy Foh Injuramce 800 185-7019 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 41PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ELEC-1695 Job Type: ELECTRIC ONLY Description: TEMP POLE 50 AMPS Estimated Value: Issue Date: 7/16/2015 uptraition Date: __1/12/2016 PROPERTY ADDRESS: Address: 575 TIMBER BRIDGE LN RE Number: None GENERAL CONTRACTOR INFORMATION: Name: MUNSON & BRYAN ELECTRICAL CO. Address: 3434 ST AUGUSTINE RD QA JOHN MICHAEL SCIOLINO Phone: FEES: State Elec DCA Surcharge $2.00 Trade Permit Base Fee $55.00 State Elec DBPR Surcharge $2.00 Temporary Electrical Service $35.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904)247-5845 JOB ADDRESS: 7�_ filtatz- 61 PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK S Z d" NEW SERVICE 0 Overhead V1 Underground DUnderground up Pole EResidential(Main)Service 00-100 amps 0 10 1-I 50amps 0 151-200amps amps #of Meters OCommercial(Main) Service OCT Service amps 00-100 amps 0 101-150amps 0 151-200amps amps Conductor Type Size OMulti-Family(Main)Service of Unit Meters 00-100 amps El 101-150amps 0 151-200amps D_amps Fremporary Pole 0 .50 amps SERVICE UPGRADE O—anips 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 0150amps 0200amps 0 amps ECT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps Appliances: 0-30amps 3 1-I 00amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @__�kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS OSwimmingPool OSign 0 Smoke Detectors__Qty �]Transformers—KVA 0 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty_volts/amps REPAIRS/MISCELLANEOUS El Replace Burnt/Damaged Meter Can 0 Safety Inspection El Panel Change EJOH to UG OOther: 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. Phone Number 5�/- 6 25z- Property Owners Name Office Phone Fax 5 Electrical Company&/i,�?2, ,q qwd Co.Address: a-d City State C L zip 3Z017 n# 0 6 117�5_ License Holder(Print): 5>4 Al St��atihcatiwi/Kr_ -1-3 'D Z Sta _,�ertification/Registratio Notarized Signature off License Holder Sworn d subscribed before me this �(o day of 20 15) JUSEPH GUY CAUCHO]N 5 Signature of Notary Publi Commission#FF24025 C Expires July 16,2019 30"dad Thru Troy Fvin fnsur�e M3815,70.19