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583 COASTAL OAKS ELEC- TEMP POLE I' ll 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-2775 Job Type: ELECTRIC ONLY Description: ELECTRICAL - TEMP POLE Estimated Value: Issue Date: 12/2/2015 Expiration Date: 5/30/2016 PROPERTY ADDRESS: Address: 583 COASTAL OAK LN RE Number: None GENERAL CONTRACTOR INFORMATION: Name: ALLSTATE ELECTRICAL CTR INC. Address: P 0 BOX 550617 QA JAMES L. WILLIAMS 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. 12/01/2015 09: 42 2963471 ALLSTATE ELECTRICAL PAGE 02/02 y0yp -us 4- -Fery-%p P)O(.,G 71,1704 If ELE CTRICAL PERMITAPPLICATION crry or ATLANTIC BrAcH 800 Seminole Rd, AtlaTitic Beach, FL 32233 Ilk Ph (904) 247-5826 Fax (904) 247-5845 S -7 5 JOB ADDRESS.- 5R PERMU JE A INTORMATION RE,QVIRED ON ALL PE S —Z_Cn�AMPS VOLTS PHASE RMff VA L UE OF WORK NEW SERVICE Overhead nderground ET Underground up Pole Aesidential (Main) Service 0 0-100 amps 0101-150anips 51-200amps FI— amps #of Meters CCommercial(Main) Service 0 0-100 amps 0101-150amps 0151-200anips 0_anaps OCT Service amps Conductor Type Size F-I.Multi-Farnily(Main) Service f:.a-100 amps 11101-1,50amps 0151-200amps O_amps of Unit Meters Vfemporary Pole ej�o6 anips SERVICE UPGRADE O_amps [I CT Service NEW FEEDER(All)WTIONS9 ACCESSORY STRUCTURES,ETC.) 0100arnps �-1150amps 11200amps F-1 amps OCT Service amps ADDITIONS,REMODELS,RE PAIRS,J3UTLD-OUTS,ACCESSORY STRUCTURUS.,.ETC. oullicts/switches: 0-30amps 3 1-1 00arops I OJ-200amps Appliances: 0-30amps j1-100amps 10 1-200amps A/C Circuits: 0-60amps 6 1.-10 0amps Helt Circuits- # circuits 00 kw Number of Lightilig Ouflots, Including Fixtims, .— OTHER ELECTRIC,&L PROJFCTS CSivimmingPool OSign 0SmokeDetector,5_Qty OTransformers KVA C Motors lip FIRE, ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty_volts/amps VAL UE OF WORK S RIE'PAERS/ABSCELLANEOUS FIReplace Burnt/Damaged Meter Can E Safety.Impection Opanel Change 17-01-1 to UG C Other: Pcrmit becomes void if wor.�(ioes not comrne"u!'77ithin,si�morth periml or wwoiZ is suspcnd;��or nbat)doiiecl rorsi'x In"011,1S. I h7by certify that I have rcad this application and know the mme to be true and corrcct. All provisions of laws and ordinatic"governing this work will bc complied Nvitb wbotber specified or not. The pennit do�s not givo mithority to violale fhe provisions of any otlicr sinto or local law regulation construciion or the performance of consirudion. Property Owners Name 4zm��Wr,—Plione Number Electrical Company /I f Office Phone �& L4LtU Fax Co.Address: city Statey'l- ZiT) Cgy�L� License Holder(Print): State Certification/Regi,-,ty.,atioTi. Vviari,wd Signature of License Holder MELODYRMOARIS S1 ril and subscribed beforc.methis day of MY cohimleSION#FF I K tGG r 2 ExPAES:April 7,2019 JQ�A �i ature of Notary Public rv-'� l'-- e!) M Lmpneft.a[ N # 11 Is\ 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-2776 Job Type: ELECTRIC ONLY Description: ELECTRICAL - NEW SERVICE 200 AMPS, 240 VOLTS Estimated Value: Issue Date: 12/2/2015 Expiration Date: 5/30/2016 PROPERTY ADDRESS: Address: 583 COASTAL OAK LN RE Number: None GENERAL CONTRACTOR INFORMATION: Name: ALLSTATE ELECTRICAL CTR INC. Address: P 0 BOX 550617 QA JAMES L. WILLIAMS Phone: FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Trade Permit Base Fee $55.00 New Single Family Electrical $70.00 Total Payments: $129-00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 12/01/2015 09: 42 2963471 ALLSTATE ELECTRICAL PAGE 02/02 7,qs9 ELE CTRICAL PER-NUT AP-PLiCATION N C—LAJ CrTY or ATLANTIC BuACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 24.7-5826 Fax (904) 247-5845 Z77 (4p JOB ADDRESS: 15�k5 eb_OZ_6�L nak_ PERMIT JEA INFORMATION REQUIRED ON ALL PERMITS _ZCZ-) O� VOLTS PHASE VALUEOFWORKS NEW SERVICE [71 Overbead 21Znderground ET Underground up Pole Aesidevti2l (Main) Service 00-100 amps 0101-150amps JJ?1_'5l-2 0 Oam p s amps of Meters OCommercial (Main) Service 0 0-100 amps 0101-150amps El 15 1-200amps 0—al-nps EXT Service amps Conductor Ty .pe Size arnily(Main) Service )(.(Ipo�ramps Q101-150amps E 15 J-200amps 7_amps 9 of Unit Meters a mporary Pole e&O amps SER ICE U DE 0—amps D CT Service—amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) D100amps :1150amps 7_200amps ED amps 7-CT Service amps ADDITIONS,REMODELS,REPAIRS,BU-1LD-OUTS,ACCESSORY STRUCTURES,ETC. Oullicts/Switches: 0-30amps 3 1-1 00arnps 10 1-2 00am ps Appliances: 0-30amps 31-100amps 10.1-200amps A/C Circuits: 0-60airps 6 1-1 00ainps Heat Circuits- # circuits kw Number of UgMirg Onflets, Including Fixtures- OTHER ELECTRICAL PROJUCTS 7SwimmingPool ESign 0 Smoke Detectors_Qty 7-Transformers KVA E Motors hp FIRE, ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Chec0st) Qty_volts/amps VAL UE OF WORKS RE,PAIRS/NIISCELLANEOUS '_-Replace Burnt/Damaged Meter Can .7 Safety.Inspection r]Panel Change r_7 OK to UG �7-Other hal I�7117 0—MC-5--vold if work does not commel cd or abandoned ror six months. I Permit bec icc within a six monih periml or work,is suspend i b�by ocrtff�t read this application and knowthe qame to be true and correct. M provisions of laws and ordinances governing this work will be complied-wilb wbetbor tion or the perrormarce of or noi. The permit does not give aiithoril.�,,io violaic the provisions ofany other stste or local law regulation con.�tr= con%iruction. L s Name Property Owner, Phone Number Electrical Company e Phone —Fax Co.Address. AL CityTzm —zip ZX4?;�o �ntfdk-"" statee License Holder(Print): AO f- State Certification/Regis-vation # Notarized Signature qfLicense Holder MFiODYFt MORRIS S rn and subscribed before me this 41-6 _�_fti of �A&e"�P_o r -2 0 MyCOMMI8S1&#FFI01_VG r ExPiAES:A0 7.2019 Bonded Thru Noimy PoW Undomft$i ature of Notary Publ i c