140 8TH ST - TEMP POLE 1---
- .1_,1-\.1\i ,.
::M. \ CITY OF ATLANTIC BEACH
i f 800 SEMINOLE ROAD
1 n"'` ,� 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-1803
Job Type: ELECTRIC ONLY
Description: temporary pole - 40 amps
Estimated Value:
Issue Date: 8/9/2016
Expiration Date: 2/5/2017
PROPERTY ADDRESS:
Address: 140 8TH ST
RE Number: 170327-0000
PROPERTY OWNER:
Name: PETTWAY, REBECCA T
Address: 140 8TH ST
GENERAL CONTRACTOR INF RMAT TOKNIGEN:
LLC
Name:
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
f'v 0 G Ph(904)247-5826 Fax(904)247-5845 Ik9—6l,6 C— �6'(73
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JOB ADDRESS: !`� Su " lk'
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VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground 0 Underground up Pole
°Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
O Commercial(Main)Service
00-100 amps 0101-i50amps n 151.200amps 0 amps OCT Service amps
Conductor Type Size
0Multi-Family(Main)Service
100 amps 0101-150amps U 151-200amps 0 amps #of Unit Meters
LJTemporary Pole 0_40 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps _ 101-200amps
Appliances: 0-30axnps 31-I00amps 101-200amps
A/C Circuits: • 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: ..
OTHER ELECTRICAL PROJECTS
°Swimming Pool 0 Sign OSinoke Detectors Qty OTransformers KVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
°Replace Bumt/Dam.aged Meter Can 0 Safety Inspection rlPanel Change 110H 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
road 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 peimit 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 -Oma\ S W Cl _ Phone Number
Electrical Company KifWr i1, u-4.- Office Phone 04.17 98N Fax.
Co.Address: 1-'f 1/u W � S• City 7 ( •t-- State F• Zip 3 To Sb
License Holder(Print): ,1 ems- Nit 14 State Certification/Registration# 02130 21?3
Notarized Signature of License Holder •a
Before me this g day of �. - • --
Signature of Notary Public
TM ►ktCusPesrian
NOTMtYPUBUC
Imo' +' 'STATE OF FLORIDA
"'1'.•. .-' Conanlii FF01187 3
Exams 11/1=2017