1024 MAIN ST NEW SERVICE TEMP POLE rL`-1:1
41 S CITY OF ATLANTIC BEACH
re
r A s) 800 SEMINOLE ROAD
J =" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
LJ3Il9�
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-726
Job Type: ELECTRIC ONLY
Description: TEMP POLE 100 AMPS (SEE 1022 MAIN ST#16-ELEC-688)
Estimated Value:
Issue Date: 3/25/2016
Expiration Date: 9/21/2016
PROPERTY ADDRESS:
Address: 1024 MAIN ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: CRAWFORD ELECTRIC
Address: P 0 BOX 51045 QA JOHN ROBERT CRAWFORD III
Phone: 904-241-5591
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN A(CORD 11'ITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
to 2- Ph(904)247-5826 Fax (904)247-5845 /.3 `d//
/i' S FR - 3 7
JOB ADDRESS: 1U- '2 /rift,'/%1 S (r—e-e-f PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2. G C AMPS /Z 61:- u VOLTS /
. PHASE
VALUE OF WORK$ 50 a. " )
NEW SERVICE n Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main)Service
0O-100 amps ❑101-150amps ❑151-200amps amps #of Meters
.7Commercial(Main)Service
❑0-100 amps J 101-150amps ❑151-200amps F i amps ❑CT Service amps
Conductor Type Size
JMulti-Family(Main)Service
x_10-100 amps _�101-150amps ❑151-200amps J amps #of Unit Meters
J Temporary Pole ❑ /0 Q amps
SERVICE UPGRADE amps ❑ CT Service amps
P
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps J 150amps 0200amps ❑ amps OCT Service amps
kDDITIONS,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:
)THER ELECTRICAL PROJECTS
H Swimming Pool ❑ Sign 'I Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
EPAIRS/MISCELLANEOUS
LiReplace Burnt/Damaged Meter Can 0Safety Inspection JPanel Change DOH to UG
L1 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
tstruction.
)perty Owners Name /� !"�G 4 e.4.r .1 e r1#-4,44. .r Phone Number 2Y/ r yc/ /
:ctrical Company (,t tF 1 8/,e c-/v..G Office Phone ,b 5f-21i 55 Fax 7okr z/j—'p,2/7
.Address: 23W 0'7nsc.4 po....)A I City /t0/3 State. ( Zip 32"eel'
ense Holder(Print): -3.34/4 eJ/iM .1. " n State Certification/Registration# E C —13 032.09 tarized Signature o Lic• s' _ ' , ' /
o�sl pug, Notary Public State of Florida,
e , e me this
r ., ~: -,t,rley L Graham IISS o� day �I1L • i/� 20 / (O
•.y hey Commis,on F'r 080590 � `•
-r?,_,1.= cxpl. s 02/14;2018 Sid:ature of Notary Publ'.�il all r„
I\� CITY OF ATLANTIC BEACH
y �, 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J13)>�
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-727
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS (SEE 16-ELEC-689)
Estimated Value:
Issue Date: 3/25/2016
Expiration Date: 9/21/2016
PROPERTY ADDRESS:
Address: 1024 MAIN ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: CRAWFORD ELECTRIC
Address: P 0 BOX 51045 QA JOHN ROBERT CRAWFORD III
Phone: 904-241-5591
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORD AN('E Vs ITII ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 fi, (j /6_ 3 F2 —37
/D 2 / Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: L.i;1- MR,r.) S/7-- e-f PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2(5 0 AMPS 1z 6' sft-,,VOLTS / vi PHASE
VALUE OF WORK$ tcpoQ° °
NEW SERVICE n Overhead tA Underground nJ Underground up Pole
[Residential(Main)Service
00-100 amps Li 101-150amps [-200amps D 2& amps #of Meters
]Commercial(Main)Service
Li 0-100 amps D 101-150amps ❑151-200amps [1 amps ❑CT Service amps
Conductor Type Size
1)Multi-Family(Main)Service
L10-100 amps ❑101-150amps ❑151-200amps Ci amps #of Unit Meters
=_Temporary Pole amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps D 150amps 0200amps ❑ 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:
)THER ELECTRICAL PROJECTS
❑Swimming Pool C) Sign ❑Smoke Detectors Qty OTransformers KVA OMotors hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
EPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change 0011 to UG
❑Other: / k.t? a 0.Acs,.
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. QQ
)perry Owners Name Rye G i „.4,, Phone Number 2 Yl — YV
:ctrical Company ej,F.-,/ eye cif:t Office Phone 70Y-2f/s.37fFax 907 - 2 y/ -90.3 7
. Address: 2.30/ M Ar-44 ea.J # RI City /U//2 State P7 Zip 3 22 ce
ense Holder(Print): T440) a,v1 f=.,,c/ State Certification/Registration# f C/! Dc)Z cci 7
tarized Signa., : , Note,-_ii o facer .
," f Jhirtey l_Gy�hap�1 �
My Comma 1iBI)Da$me th' OZ Q da of Lj/ (0 20 1 b
` Enpires 02/14/2013
•1 • - • otary Pub --•'''''Wlik-4!i-