1608 MARITIME OAK DR - TEMP POLE \S f CITY OF ATLANTIC BEACH
f _ c) 800 SEMINOLE ROAD
J 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-1428
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE
ii Estimated Value:
Issue Date: 6/22/2016
Expiration Date: _ 12/19/2016
PROPERTY ADDRESS:
Address: 1608 MARITIME OAK DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: DAVID GRAY ELECTRICAL SERVICES INC
Address: 6491 Powers AVE STE 1
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
I
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE. WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID.%
BUILDING CODES.
Jun. 21. 2016 10: 12AM No. 6333 P. 2
ELECTRICAL PERMIT APPLICATION // - �.
CITY OF ATLANTIC BEACH I b ��.C.- 1 4
800 Seminole Rd, Atlantic Beach, FL 32233 —\--ob fp .pcorv- c
p� Ph(904)247-5826 Fax(904) 247-5845 I r5 v r1
JOB ADDRESS: (..PQ 0 Mm _ QIC b1' - PERMIT# r
JEA INFORMATION REQUIRED ON ALL PERMITS 4D-07) AMPS OH b VOLTS 1 PHASE
---rp p 0 LE VAT UE OF WORK,.
NEW SERVICE ❑ Overhead [ , dndp•ground Of Underground up Pole
❑Residential (Main)Service
00-100 amps ❑101-150amps .-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
Ip0-100 amps 0101-150amps 0 151-200amps ❑ amps #of Unit Meters
emporary Pole ia' (stO amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0 150amps ❑200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps • 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTEER ELECTRICAL PROJECTS
❑Swimming Pool 0 Sign 0 Smoke Detectors_Qty 0Transformers KVA El Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can 0 Safety Inspection ❑panel Change ❑OH to UG C.),-• l .0_0(‘
❑Other: R C U RiA tL)Yom@ D ILLI-GaNCJ
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 cl.R. Lon)
� Phone Number g-1 dY- 33'1- 3 5.5.I
•
Electrical Company bavicl Cir 41 C1 e cin c o.\ c ,1 '. Office Phone clO`1-1 1-7.211 Fax.S S'SDi 31(,1
Co.Address: .J99.1 7ovler5 f\v< . City -3—q,i State(L- Zip 3, . 'i
License Holder(Paint): 'r t^h CA Oh G i b>^, ' State Certification/Registration# e(--1366611e 1
Notarized Signature of License Holder
ASNLSY FARRIS
NoTARYPueuc Sworn and subscribed before me this D• 1 day of TL.x..1_ 20[.
' :_STATS OF FLORIDA
'. Cam*FF130500 Signature of Notary Public
Expires 6/8/2018