730 PARADISE LN - ELECTRIC TEMP POLE , Jai
)' ' ` • \s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J 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-1607
Job Type: ELECTRIC ONLY
Description: temporary pole - 60 amps
Estimated Value:
Issue Date: 7/18/2016
Expiration Date: 1/14/2017
PROPERTY ADDRESS:
Address: 730 PARADISE LN
RE Number: 172376-0240
PROPERTY OWNER:
Name: WHW INVESTMENT MANAGEMENT LLC
Address: 1 INDEPENDENT DR STE 1600
GENERAL CONTRACTOR INFORMATION:
Name: MARCO ELECTRICAL CONTRACTORS
Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
• — CITY OF ATLANTIC BEACH
�)0 800 Seminole Rd. Atlantic Beach. FL 32233
Ph (904)(247-5826 Fax (904) 247-5845 ti A0 - L -- l((0
JOB ADDRESS: Qyt N tSk. ' na 9 O f PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead E Underground Hi Underground up Pole
Residential (Main)Service
0-100 amps 101-150amps 151-200amps amps # of Meters
Commercial(Main)Service
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps # of Unit Meters
Temporary Pole (,t 0 amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-I00amps _ 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits err kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors Qty Transformers KV A Motors lip
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
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 he complied with whether
specified or not. The permit do •not give authority to violate the pros inions of any other state or local law regulation construction or the performance of
construction. (�
Property Owners Na Y 11'1 'lP IA -2J—k\\c\--eY-S Phone Number
Electrical Company YO-3C---t f c'G.) Office Phone/43-3850
i Fax 3.. r1
P Y
Co. Address:• 7 ( \ t I 1 (' ,rye L.,. f �cl . City � kS�w )k State C) Zip 3 1 i
i State Certif g
ion/Re istration# n i 3 )0 ''5
License Holder(Print): ,1��,�rrtr-� � -
Notarized Signature of License Holder —% L
Sworn a subscribed before a this I 0 day of_ _LA I 20 &
�Y�� BONNELL W.CR67433iAIG ,
MY COMMISSION 8 Fr1
Signature of Notary Public (J��� _0,9
' r4t EXPIRES:December II.2018