796 MAIN ST - TEMP POLE r:l ,,,,
`s\ CITY OF ATLANTIC BEACH
.� ,►;_< 800 SEMINOLE ROAD
� ;r 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: 16-ELEC-366
Job Type: ELECTRIC ONLY
Description: TEMP POLE
Estimated Value:
Issue Date: 2/12/2016
Expiration Date: 8/10/2016
PROPERTY ADDRESS:
Address: 796 MAIN ST
RE Number: 170942-0050
PROPERTY OWNER:
Name: SAPIA, PETER C
Address: 1655 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: R & R ELECTRIC COMPANY
Address: P 0 BOX 60665 QA ROBERT A SALLETTE, JR
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
--.-.._....S LI&.J A. 1 L LYl1 I 1-5.I f L1l41 1 It'll
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845 1 _C LAC-36,
JOB ADDRESS: —7 "n 1 t/p ` 4.► rk 5'- -Ian G 1/4&J PERMIT#
TEA INFORMATION REQUIRED ON ALL PERMITS ID Q AMPS ago VOLTS 1 PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground 01 Underground up Pole
I Residential(Main)Service
El 0-100 amps i_i 101-150amps fl 151-200amps 1 i amps #of Meters
. 'Commercial(Main)Service
_10-100 amps I 1 101-150amps 1=1151-200amps O amps FICT Service amps
Conductor Type Size
0 Multi-Family(Main)Service
D0-I00 amps ;:1101-150amps 1 151-200amps I ) amps #of Unit Meters
yTemporary Pole P amps
SERVICE UPGRADE i 1 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
; 1100 amps ! ,150amps El200amps H amps OCT 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
1''Swimming Pool H Sign H Smoke Detectors Qty (Transformers KVA H Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
I 'Replace Burnt/Damaged Meter Can O Safety Inspection P Panel Change OOH to UG
i_i 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 d.y\ S 0.1f1 0. .. -7 f ws 1_ Phone Number
Electrical Company( ,q e} g t I of ri C to C /V o AN F' Office Phone 741Y -SS SS Fax 7 - 82t/0
3o.Address: et leve (0 0 6 6 s City Ilkiik State F Zip3 2-2 3,6
�icense Holder(Print): O)20 c* 11 . 44-e A State Certification/Registration#
Votarized Signature of License Holder i
Before me this /° day of Fe_brtk.Q.r 20 go
+o1.:;49et, KATHY L ANSLEY
* g, MY COMMISSION q EE 198478
s EXPIRES:May 20,2016 Signature of Notary Public • ��,
pew,dn�O' Bated Thv Budget Notary Services /
D'