1390 BEGONIA ST - ELECTRIC TEMP POLE 1� CITY OF ATLANTIC BEACH
SJ 800 SEMINOLE ROAD
J +�
ATLANTIC BEACH,FL 3 3
INSPECTION PHONE LINE 247
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
70B INFORMATION:
Job ID: 15-ELEC-2170
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - TEM POLE
Estimated Value:
Issue Date: 9/14/2015
Expiration Date: 3/12/2016
PROPERTY ADDRESS:
Address: 1390 BEGONIA ST
RE Number: None •
GENERAL CONTRACTOR INFORMATION:
Name: MARCO ELECTRICAL CONTRACTORS
Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH
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 TILE FL
BUILDING CODES.
I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 ( CJ ,�Lee---"Z 7
Ph (904)247-5826 Fax (904) 247-5845
JOB ADDRESS: 15 ci 0 ego r N t o. &6.e_.Jz->: PERMIT# J 5 - 15 9
14i0,14 1Q.. f a 0-. 3a..33
aL/�
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS '' VOLTS I PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead Underground 1 Underground up Pole
Residential (Main) Service
0-100 amps l 01-150amps 151-200amps (QCO amps #of Meters I
Commercial(Main) Service
0-100 amps 101-l 50amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family (Main) Service
0-100 amps 101-150amps 151-200amps amps # of Unit Meters
Temporary Pole `1 b amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT 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
Swimming Pool Sign Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
1
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�)n,r 45M.t lev,e 1of:qr S
Phone Number C)If - ,==. 35— °°r1
_' I A" `1'd-33Sb Fax Cil°'1" lki3 149a7
Electrical Company rci o e tC Office Phone
Co. Address: 5l a 0 Mt t) 0._v--.e_..e E. CA City na-c.L431,NNA& State CI Zip 3 -Q-1 I
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License Holder (Print): ,�Rc�,l,,g.,,,, 4,,... � ! - State Certif ion/Registration# 6.13 J p.��i5
Notarized Signature of License Holder
� '"°" 01.INELL W.CRA1G Sworn a subscribed before me this q day of M 20 I
.∎., MY COMMISSION a FF167433
• ExP, ;p „y�r,t,2ots Signature of Notary Public