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363 4TH ST 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 JOB INFORMATION: Job ID: 15-ELEC-1996 Job Type: ELECTRIC ONLY Description: NEW SERVICE 300 AMP 240 VOLTS 1 PH Estimated Value: Issue Date: 8/24/2015 _E�ratiqn Date: 2/20/2016 PROPERTY ADDRESS: Address: 363 4TH ST RE Number: 169843-0100 PROPERTY OWNER: Name: PHILLIPS, LONNIE Address: 4648 COLLINSWOOD DR GENERAL CONTRACTOR INFORMATION: Name: MOORE ELECTRICAL CONT., INC. Address- 10526 CRAIG INDUSTRIAL DR QA JONNY DALE MOORE Phone:--- - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 New Single Family Electrical $140.00 Trade Permit Base Fee $55.00 Total Payments: $199.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 OB ADDRESS: JK. j �y""4 2!' Le,e7'- PERMIT# EA INFORMATION REQUIRED ON ALL PERMITS 00 AMPS VOLTS PHASE VALUE OF WORK$,�, �EW SERVICE 0 Overhead El Underground nUnderground up Pole gResidential(Main) Service 00-100 amps 0101-150amps 0 151-200amps -700 amps # of Meters f 0 Commercial(Main) Service E10-100 amps 0101-150amps 0 151-200amps 0_amps E CT Service amps Conductor Type Size DMulti-Family(Main) Service E10-100 amps El 101-150amps 0 151-200amps O_ai-nps of Unit Meters ;ERVICE UPGRADE 0_amps 0 CT Service amps �EW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.) 0100amps D150amps 0200amps 0 amps ECT Service amps WDITIONS,REMODELS,REPAIERS,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 6 1-1 00amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: :)THER ELECTRICAL PROJECTS 0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty 0 Transformers KVA L-1 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty_volts/amps VAL UE OF WORK S REPAIRSIMISCELLANEOUS []Replace Burnt/Damaged Meter Can 0 Safety Inspection 0 Panel Change COH to UG rD []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 .-ead 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 3pecified 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 =struction. D/- Property Owners Name 1e?41A-y;e Phone Number E I ectri cal C om p any P66 fie Office Phone 3.07 Fax Co. Address: Ro' &A city -47-Y State fl zip License Holder (Print): 40tv C) -)ewl;r � D State Certification/Recyistration# 1-�eL -4/0 7 a11ayN1WWfC&;*Wftff0 'er NWO Z Notary Public-$we OfFlorida , MY Comm.Expires Aug 25,2018 Worn scri)(e/d before e thisf, (lay of Cornmission#FF 148708 8""th—h NaWnsl Notary Assn 1 cyna tary Public If SS\ 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-1994 Job Type: ELECTRIC ONLY Description: TEMP POLE 60 AMPS Estimated Value: Issue Date: 8/24/2015 Expiration Date: 2/20/2016 PROPERTY ADDRESS: Address: 363 4TH ST RE Number: 169843-0100 PROPERTY OWNER: Name: PHILLIPS, LONNIE Address: 4648 COLLINSWOOD DR GENERAL CONTRACTOR INFORMATION: Name: MOORE ELECTRICAL CONT., INC. Address: 10526 CRAIG INDUSTRIAL DR QA JONNY DALE MOORE Phone: FEES: State Elec DBPR Surcharge $Z00 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(904) 247-5826 Fax (904) 247-5845 PERMIT# JOB ADDRESS: �_�tf_�A� JEA INFORMATION REQUIRED ON ALL PERMITS __3 �O AMPS —VOLTS PHASE VAL UE OF WORK S,9_�� NEW SERVICE 0 Overhead F1' Underground nUnderground up Pole OResidential(Main) Service E10-100 amps 0101-150amps 0 151-200amps k TOO amps # of Meters E Commercial(Main) Service [10-100 amps 0101-150amps 0 151-200amps 0—amps E CT Service amps Conductor Type Size 0Mul '_ ice # of Unit Meters 0-100 amps 0101-15 a 0 151-200amps D—amps OTemporrary Pole)(_,Z00 amps SERVICE UPGRADE 0—amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 0150amps 0200amps 0 amps E CT Service—amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. outlets/Switches: —0-30amps —3 1-1 00amps 101-200amps Appliances: —0-30amps 31-100amps —10 1-200amps A/C Circuits: —0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lightini—Outlets, Including ffix-tures: OTHER ELECTRICAL PROJECTS [I Swimming Pool [I Sign 0 Smoke Detectors_Qty 0 Transformers_KVA E]Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) VAL UE OF WORK S Qty_volts/amps REPAIERS/MISCELLANEOUS el Chance 0OH to UG EIReplace Burnt/Damaged Meter Can D Safety Inspection E]Pan C) 0 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. Property Owners Name /0 41Ati e PIJ; 11�Qs Phone Number axfoel_10,5�f--1�7 Electrical Company , - - 6 A/f-lAlc- -Office Phone��-4Vf-4 r,07 F/ Co. Address: P0, a.01, jTo_1"7f city JIVY State zip '7'221T License Ho!der_(ljrint): State Certification/Registration 9 �Z-YO a naYNTWQfilW*MWA0 er ....... ..... S- Notary Public-State of Florida Z. My Cornm.Expires Aug 25,2018 orn a subscri)/e'd before e thi day of comm"M#FF 148708 "MO, 6W"*MughNs1iona1NoWryAssn ignature oIL'Notary Public