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303 10TH ST - ELECTRIC ELECTRICAL PERMIT APPLICATION • CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 Ph (9 0 • 247-5826 Fax(904) 247-5845 JOB ADDRESS: D 3 gm - PERMIT# JEA INFUItMATT'ONREQU tED ON ALL PERMITS.. Ams ZStb VOLTS, : 1 VALUE OF WORK S_ NEW SERVICE ❑ Overhead ❑ Underground CilZcsidcutint(Main)Service ❑1 Underground up Pole 00-100 amps t;I01-IS0anips 0151-200a,mps 0 I iCumnicrcial(Main)Service amps ofMeters 00-100 amps fl 101-150amps 0151-200amps 0 am s Conductor Type Size P OCT Service amps U Multi-Family(Main)Service !.10-100 amps ,(j/0 l-1 50amps 11151-200amps 0 am # Li Temporary Pole ri f 0-v amps p9 of Unit Meters 0 SERVICE UPGRADE 0 APs 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC_) ;.1100 amps !?150amps L200amps 0 amps LI CT Service amps 1 • 'DDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30am s Appliances: 0-30am s 31-100arnps ROI-200amps A/C Circuits: 0-60amps 31-I00amps I01-200arnps p b I-100amps Heat Circuits: t# circuits @ ka, number of Lighting Outlets, Including Fixtures; )THER ELECTRICAL PROJECTS (J Swimming Pool 0 Sign ❑Smoke Detectors Qty ['Transformers KVA DMoton hp IRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK S EPAIRS/MISCELLANEOUS i=Replace Burnt/Damaged Meter Cmi LJSatety Inspection !JI'aueI Change JOH to UG iOthcr: inn becomes void if work docs not commence within a six month period or work is suspended or abandoned for tier months I here 'd his application and know the same to be true and correct. Alt provisions of lawx and ordinances governing this work will be complied wit whether c •shied or not. The permit does not give authority to violate the provisions of any other state or local low regulation construction or the performance of t(ruction, iperty Owners Name &rj— Phone Number xtriCa!Company �iv�L�,'�(4: 41- Office Phone Z-73—// ..3 Fax_ — P . Address: r! r�L.—L7 [;U `" City State Zip .17-0°Z— •ensc Holder(Print):/1j 4/ /._ �,k- .. tate Certification/Registration /1¢0 '02_. tarized Signature of License,Holder ' 0 44' JAMES M.CAr°o,„Before me this QZ�'1 day of i f- Signature ofN .1%1 —STATE OF FLORIDA • btNotary Public l.,..4.:: 7� :e�:ii►; • -s _ ...at,.r' tarrrnk FFt48772 r Expires 7!31/2018 Wd 8£l 9t03/4Z190 7 to Z abed S78SL7Z(706) l+ :xej of 8L06£L£(406):xe8 cool a>flyl auaj From:Mike Lore Fax {904)373-9016 To Fax: +1 (904)2475845 Page 3 of 4 06124/2016 1:38 PM 06-24-16; 12:51 ;From: To:937390i8 ;90�2�?75845 1- 2 EE;LECTIZICAx,PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Belch, FL 32233 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS:.2_ 1—ii _S7`:7- .PERMIT# T,EA"INFORKATION'REQVIRED`:ON.ALLTERAITS; JO`'.:AMI'S 0 'VOLTS :... . '-'PEASE �; 7T-------'-N _ UL'OF WORK$ iSv13 C ,,,,NEW SERVICE Overhead .. LiRcsldenti (Main)Service Under�„round []117ndcrground up Pole ' DOL 100 amps 11101-1SOatn s _ �� i':Commercial(Main)Service p l�1 S 1-200ertlps Q op amps it of Meters 00-100 amps C1101-150amps 0151- ()Camps Conductor Type' Sim p n OCTService amps •'.}1VXulti-Family(Main)Service - 170-100 amps ni01-150ntitps II1S1-2QOanz ps 0Teroporary Pole 11 amps 0 amps of Unit Meters SERVICE UPGRADE amps U CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,RES,ETC) 0100 amps O150amps U200amps 0 amps DCT Service amps '1DDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100am s Appliances: 0-30am s p 101-200atnps A/C Circuits: 0-60amps 61-100amps -----s 10l-200amps Heat Circuits: I 0 circuits Qa'—'�-ice, p Number of Lighting Outlets, Including Fixtures: • )THER ELECTRICAL PROJECTS 0Swirnming Pool 0 Sign ()Smoke Detectors Qty OTransformers KVA CMo tors hp IRE ALARM SYSTEM (Requires 3 sets of plans) Qty _volts/amps VALUE OF WORK$ . EPAIRS/MISCELLANEOUS °Replace Bumt/Damaged Meter Can °Safety Inspection, DPauel Change JO i to UG COthtr: 'mit become;void if work does not ootnrnencewiitthin s six monthed 0 certify d this application anti know the same to be true and correct. Al!provisions of laws and ordinances gor vern;S this doned ler work will bcmonths. I lcomplied with whether xified or not. The permit docx not give uuthorily to violate the provisions orally other state or local luw regulation construction or the perfom,secc of isouetion. )perty Owners Name 4odyPhone Number:ctrica!Company ,_, _ ,� - Office Phone 2-73//y3 F _ Q/�' .Address: Jo /1 i ems_ 6/d,�. City Pu St / zip Zo 72, rase Holder(Print): ertificati 3d y .�'_- �I e ��-- .0,-,;.,.. on/Registration 0 ti c2_to'rized Signature of License.Holder " 1 ASP 4118"'/red Beforo me is ;(V ` t.' is . JAMES M.CAPD q day of t f NOTARYPUBa& lal,�'- ignature of Notary Public -Li►' �v1; STATE OF FLORIDA --' ;'.'' Cama FF146772 Expires 7/31/2018 s J N SS" CITY OF ATLANTIC BEACH ) 800 SEMINOLE ROAD `5 '' v 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-2937 Job Type: ELECTRIC ONLY Description: 1 heat circuit Estimated Value: Issue Date: 12/23/2015 Expiration Date: 6/20/2016 PROPERTY ADDRESS: Address: 303 10TH ST RE Number: 170063-0000 PROPERTY OWNER: Name: BOUY, KIM L Address: 303 10TH ST GENERAL CONTRACTOR INFORMATION: Name: LORE ELECTRICAL CONTRACTORS Address: 210 N ROSCOE BLVD QA MICHAEL LEE LORE Phone: - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Electrical Heat $2.00 Trade Permit Base Fee $55.00 Total Payments: $61.00 PERNIIT IS APPROVED On1.Y IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: 6 • ii S71: PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 71� VOLTS ______L_____PHASE V L UE OF WORKS LS.- NEW SERVICE 0 Overhead IrAli ❑Residential Underground ❑T Underground up Pole (Main)Service 00-100 amps 0101-150amps 0151-200amps O p amps °Commercial(Main)Service P #of Meters 00-100 amps 0101-150amps 0151- 00am s Conductor Type Size p ❑ amps OCT Service amps °Multi-Family(Main)Service ❑0-100 amps O 101-150amps ❑151-200amps ❑ ❑Temporary Pole 0 amps --cps #of Unit Meters SERVICE UPGRADE ❑ amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps O 150amps 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100am s Appliances: 0-30am s p _101-200amps p A/C Circuits: 0-60am —61-100amps 101-200amps Heat Circuits: p s 61-100amps @ kw Number of Lighting Outlets, Including Fixtures: )THER ELECTRICAL PROJECTS °Swimming Pool ❑ Sign 0 Smoke Detectors Qty OTransformers KVA °Motors hp IRE ALARM SYSTEM (Requires 3 sets of plans) • Qty volts/amps VALUE OF WORK$ EPAIRS/MISCELLANEOUS OReplace Burnt/Damaged Meter Can 0 Safety Inspection ❑Panel Change OOH to UG ❑Other: rmit 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 d 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 :cified 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 istruction. )perty Owners Name 40 C Phone Number ;ctrical Company —., i _ tJ,� 1 i Office Phone Z73//5/3 .Address: AS'GfU' 6/d�, Fax -- go/ii 6 # City U� State / Zip 240 7 2 ense Holder(Print): i ` 4 , 2�� ,0:" ertification/Registrationh3Q 0 (( tarized Signature of License Holder ' // 411, Before me is day of 20 Signature of Notary Public f r✓;, '; CITY OF ATLANTIC BEACH 0 �� 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 =�� INSPECTION PHONE LINE 247-5814 \JJ3l9f" ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ELEC-2938 Job Type: ELECTRIC ONLY Description: temp pole Estimated Value: Issue Date: 12/23/2015 Expiration Date: 6/20/2016 PROPERTY ADDRESS: Address: 303 10TH ST RE Number: 170063-0000 PROPERTY OWNER: Name: BOUY, KIM L Address: 303 10TH ST GENERAL CONTRACTOR INFORMATION: Name: LORE ELECTRICAL CONTRACTORS Address: 210 N ROSCOE BLVD QA MICHAEL LEE LORE Phone: - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Temporary Electrical Service $35.00 Total Payments: $39.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 Ph(904 247-5826 Fax (904)247-5845 JOB ADDRESS: .36 /A PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS Z 7V VOLTS PHASE VALUE OF WORK$ NEW SERVICE ri Overhead ❑Residential El] Underground Underground up Pole (Main)Service DO-100 amps 0101-150amps D151-200amps ❑ amps ❑Commercial(Main)Service P #of Meters 00-100 amps 0101-150amps D151-200amps ❑ am s Conductor Type Size p OCT Service amps ❑Multi-Family(Main Service 00-100 amps 101-150amps 0 151-200amps ❑ s ❑Temporary Pole pro amps amps #of Unit Meters SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps 0150amps D200amps ° amps OCT Service amps UDDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100am s Appliances: 0-30am s p 101-200amps p A/C Circuits: 0-60am 61-100amps 101-200amps Heat Circuits: p s 61-61 # circuits @ kw Number of Lighting Outlets, Including Fixtures: )THER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign 0 Smoke Detectors Qty °Transformers KVA ❑Motors hp IRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ . •EPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG DOther: rmit 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 d 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 :cified 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 1struction. )perty Owners Name /0/ Phone Number ;ctrical Company 4.-) ��' G! _ , Office Phone Z23/l .Address:flC.l b /� �jScOr— ,�/vd0. 2 3 Fax 373_�p/�' City 4/j State /f Zip , afa_ ense Holder(Print): < � L .s� r - tate Certification/Registration Pc /36 06‘92__ tarized Signature of License Holder r Before me this day of 20 Signature of Notary Public i