1303 BEACH AVE - TEMP POLE I-S1,"\I\.
,�' ; '` ' CITY OF ATLANTIC BEACH
-,, . ,) 800 SEMINOLE ROAD
K101 . 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-1972
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE
Estimated Value:
Issue Date: 8/30/2016
Expiration Date: 2/26/2017
PROPERTY ADDRESS:
Address: 1303 BEACH AVE
RE Number: 170296-0000
PROPERTY OWNER:
Name: LAMBROU JR, FRED H
Address: 1998 RIVER RD
GENERAL CONTRACTOR INFORMATION:
Name: FRANKLIN ELECTRIC SERVICE
, ER13013898
Address: 4 TALLWOOD RD QA JARRETT ADAM FRANKLIN
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
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ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 130 3. BCU4 A Oe PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /Ccc AMPS /?o2t'fo VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground nJ Underground tip Pole
❑Residential(Main)Service
❑0-100 amps O 101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps [7151-200amps amps OCT Service amps
Conductor Type Size
0 Multi-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps 0 amps # of Unit Meters
Temporary Pole 17 I00 amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps : 150amps 200amps ❑ 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:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty OTransformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can 0 Safety Inspection ❑Panel Change 0OH to UG
0 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 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 ApO ,5 LAvkl.3(10tJ6t1 Phone Number
Electrical Company Cali ICU/3 RiC Office Phone 6L94l9ts Fax
Co.Address: p. 0. Zek 5-1237 City 14 c. 8C4i State(( Zip 32Z61)
License Holder (Print): Skeg lr �/L.W� J State Certification/Registration# ER0o 1 3$476
Notarized Signature o Lice • •older �^
o"'.'. TONI GINDLESPERGER Before`r>'fe this da 0 1
+: ,. MY COMMISSION#FF 924951 `l ' A
,?} EXPIRES:October 6,2019 � .
'..1::,*for lr'r Bonded Tnru Wary Pubbc Undenvrters Signature of Notary Publi. 4 ✓ ob