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336 8TH ST NEW SERVICE TEMP POLE CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 !jig ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ELEC-2044 Job Type: ELECTRIC ONLY Description: NEW SERVICE 200 AMPS Estimated Value: Issue Date: 8/28/2015 Expiration Date: 2/24/2016 PROPERTY ADDRESS: Address: 336 8TH ST RE Number: 169927-0000 PROPERTY OWNER: Name: HACKNEY FAMILY TRUST, LELAND R, Address: 1747 LIVE OAK LN 1747 LIVE OAK LANE GENERAL CONTRACTOR INFORMATION: Name: T & M ELECTRIC INC Address: 200 College DR FEES: Phone: - - — - - - I 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: $129.00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904)247-5826 Fax (904)247-5845 JOB ADDRESS: 35 PERMIT# 16-5FR-m41 JEA INFORMATION REQUIRED ON ALL PERMITS ift AMPS2,4 0 VOLTS PHASE t2ez5 VALUE Of'WORK$ NEW SERVICE 0 Overhead Underground ED Underground up Pole []Residential (Main) Service 00-100 amps . 0 10 1-1 50amps 51-200amps )taw amps of Meters LI Commercial(Main) Service i�— — 00-100 amps Q101-150amps Ll 151-200amps amps 0 CT Service amps Conductor Type Size []Multi-Family(Main) Service 110-100 amps 0101-150amps [I 151-200amps of Unit Meters 'emporary Pole 0 amps _amps SERVICE UPGRADE [J_amps 11 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 11150amps L1.200amps El_amps [I CT Service amps ADDITIONS,REMODELS,REPAIRS,BUIELD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 10 1-200amps Appliances: 0-30amps 31-100amps —10 1-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: 4 circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS Ll Swimming Pool IJ Sign 11 Smoke Detectors_Qty L1 Transformers_KVA EMotors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRSIMSCELLANEOUS EReplace Burnt/Damaged Meter Can 0 Safety Inspection E]Panel Change L1 OH to UG []Other: 1:7 RA i Oe�-- 0 f,,3 2 0 0 Z4(:) D .ermit 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 ;pecified 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 :onstruction. 3roperty Owners Name JAA LbYICJ Phone NumberqA-zta4-:5n3 "lectrical CompanyT* 9 laecHt Ld , jac . Office Phone�Oq 112-0 axqQ�-_71&-701 lo.Address: aD C NaMP, �LVK Statefj—zipWIP5 0 ,icense Holder (Print): JaLm"0C, te Certificatio e istration acl-unonl ate ni_/Regi�stration 4. �Iotarized Signature of License Holder k) TOWLGRPAMBURT d A11942p- NOTARYPUBM Sworn d day of' AL)G 1)- 20 ire of Notar= STArEOFRnFWA y Publ ComaWFF09W4 Signature of Notary Public Expires 51=8 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-2045 Job Type: ELECTRIC ONLY Description: ELECTRIC - TEMP POLE Estimated Value: Issue Date: 8/28/2015 Expiration Date 2/24/20 16 PROPERTY ADDRESS: Address: 336 8TH ST RE Number: 169927-0000 PROPERTY OWNER: Name: HACKNEY FAMILY TRUST, LELAND R, Address: 1747 LIVE OAK LN 1747 LIVE OAK LANE GENERAL CONTRACTOR INFORMATION: Name: T & M ELECTRIC INC Address: 200 College DR 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: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. VXZ? ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 L&C -Z0,4 s Ph(904) 247-5826 Fax (904) 247-5845 PERMIT# 16-5 FR4540 JOBADDRESS: 356 '9_1"45b JEA INFORMATION REQUIRED ON ALL PERMITS SIM AMPS2,4 0 VOLTS I -PHASE b VAL UE?WWORK$ NEW SERVICE El Overhead Underground Underground up Pole DResidential(Main) Service LIO-100 amps . FE 10 1-15 Oamps i.)i-200amps —amps of Meters DCommercial(Main) Service El 0-100 amps �1,101-150amps 151-200amps E_amps DCT Service amps Conductor Type Size --Multi-Family(Main) Service _-1 0-100 amps -FA01-150amps E 151-200amps El_amps # of Unit Meters Vemporary Pole EI_Uaamps SERVICE UPGRADE El.amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) E100amps E150amps E.200amps D amps EICT 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 Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS Motors hp --Swirnming Pool E Sign �]Smoke Detectors_Qty El Transformers KVA FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can El Safety Inspection Panel Change DOH to UG --FG t'y\ P 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 Jc)�An Una Phone Number Electrical Company—F* 9 Office Phone 10q T72-0 tj ZFax9 A T I&-VI Co. Address: i 0 ?ayg, State zip 3 10105 License Holder(Print): A)O�LM0_5 Yi e Certification/Registration# ECD001 i Notarized Signature of License Holder L�t .T*WL0F4kxMWff Swom d aefg 20/-� NOTARYPUBM Mi Public STATE OF RAMA Signature of Notary ca"FF09W4 EX*ft6M=8