1157 VIOLET ST - TEMP POLE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
\ / INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-736
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE 100 AMPS, 120/ 240 VOLTS , ONE
PHASE
Estimated Value: $500.00
Issue Date: 3/28/2016
Expiration Date: 9/24/2016
PROPERTY ADDRESS:
Address: 1157 VIOLET ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: JOHN MANCINI ELECTRIC INC
Address: 2400 NE 10Th ST APT 402
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 (a acc ,73
Ph(904) 247-5826 Fax (904) 247-5845 (Q
JOB ADDRESS: `` ,5 i /%v!e 1L S /- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS \ \\,,• PHASE
VALUE OF WORK$ cj 00 6
NEW SERVICE ❑ Overhead n Underground I J Underground up Pole
I Residential(Main) Service
f 0-100 amps 11101-150amps ;151-200amps amps #of Meters
Commercial(Main) Service
0-100 amps U 101-150amps i 151-200amps amps CT Service amps
Conductor Type Size
-Multi-Family(Main)Service
10-100 amps ❑101-150amps _1151-200amps =J amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps L CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100 amps '150amps 200amps r: amps LI 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 I Smoke Detectors Qty I'Transformers KVA 1 ;Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ StV-
REPAIRS/MISCELLANEOUS
'Replace Burnt/Damaged Meter Can I ISafety Inspection :Panel Change LJOH to UG
Other:
Pennit 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
•ead 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
>pecified 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
;onstruction.
?roperty Owners Name y��� ,1 Q--e ev-e 1pe✓5 Phone Number
F.lectrical Company PhoneC1S 1 S S S-CI ax
r2o. Address \NO O S Cit}k� State Zip
�- b(o�-
icense Holder (Print): 11. . _ _ . v`L State Certification/Registration#',C_\-\0O`a-c ■i
• �. � EXPIRES:October 6,2019 � � ��
.7„ & Bonded Tbru Notary Pubic Underwrit a e ire me ' day o .'��►�I
Signature of Notary Public IMIldff