The URL can be used to link to this page

102 Aquatic Dr temp pole permit CITY OF ATLANTIC BEACH -1 800 SEMINOLE ROAD 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-2101 Job Type: ELECTRIC ONLY Description: 400 amps temporary pole Estimated Value: Issue Date: 9/19/2016 Expiration Date: 3/18/2017 PROPERTY ADDRESS: Address: 102 AQUATIC DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: Vankirk Electric, Inc Loren Wesley Vanklrk,EC0001892 Address: 62 N Jackson Street Winder, GA 30680 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: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247.5826 Fax(904)247-5845 (IO—�I-i�-a IDI JOB ADDRESS: 102 Aauatir Drive . Atlantic 6--arh , FL 32233 PERMIT#4I,pjQj9ktA0 JEA INFORMATION REQUIRED ON ALL PERMITS 401) AMPS QkQ,1VOLTS 3 PHASE an VALUE0FW0AK$ NEW SERVICE ❑ Overhead ❑ Underground Ck Underground up Pole UResidential(Main)Service 00.100amps 1-1101-150amps 0151-200amps D amps #of Meters ❑Commercial(Main)Servke 00-100 amps 0101-ISOmmps 0151-200amps ❑ amps OCTService amps Conductor Type Sin ❑Multi-Family(blain)Service 00-I00amps 0101.150amps ❑151-200amps n amps #of Unit Metas_ XTempomry Pole U.f}OO amps SERVICE UPGRADE D amps D Cr Samos, maps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 0150amps 0200amps f.1 ampa OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OLTM ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-I00amps _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 OSwimming Pool OSign ❑Smoke Detectmr;_Qty OTmnsformors KVA OMotors hp FIRE ALARM SYSTEM (Requires 3 sets of plain) Qty_volts/emps VALUEOFWOEdt _ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can USafety Inspection OPanel Cheap DOH to UO ❑aha: Permit becomes void if work does not mmmenca within a six month period or work is suspended or abandoned for six montlm 1 hereby certify that I have reed this application and know the same to be true and contest. Ali 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 arty other stme or local law regulation construction or the lrerformence of eousWCOov. Property Owners Name THbridae Phone Number Electrical Company VMk1rK Elt_rfvir Office Phone C10181425-rfW"IFax(m18SQW3-Ob62 Co. Address: lot- N . IaCXAh 4. City LU lndtL State GA Zip 301060 license Holder(Print): Lorm W- yanytvK �iState Ce[t�i(l��a$� on# 4100"43 Notarized Signature a License Holder Sworn and subscribed before me ^t of 201 Signature of Notary Public ":,,":� :,`i�ty debtawcbrTn GyrtrS: is/r6yri ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904) 247-5826 Fax(904)247-5845 FD( JOBADDREss: 102 Aquatic Drive , Aklarltir Searh , FL 32233 PERMIT# - vpD- JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WOR%$ NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole UResidential(Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service 110-100 amps 0101-ISOamps ❑151-200amps ❑ amps ❑CTService amps Conductor Type Size OMalti-Family(Main)Service ❑O-100 crops 0101-150amps ❑151-200amps ❑_amps #of Unit Meters Temporary Pole U 46rl amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100 amps 0150amps 11200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Oudets/Switches: 0-30amps 31-100amps _101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: - #circuits(a} kw Number of Lighting Outlets,Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool OSign ❑Smoke Detectors_Qty ❑Transformers EVA (]Motorshp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OFWORR$ REPAIRS/MISCELLANEOUS ❑Replace BumHDamaged Meter Can USafely Inspection UPanel Change ❑OH to UG ❑Other: Pmrnitbecemcs void if week does act ca mnence within a six month period or work is suspended or abandoned forms months. I hereby certify the I have read this application and know the same to be troc and mvect. All provisions of laws and ordinances governing this work will be complied with whether specified or na he permit does not give authority to violate the provisions of my other state or local law regulation construction or the performance of construction. Property Owners NameTH bridge Veair1en11 d Phone Number Electrical Company VQYIt(.IYK Eleftrit Office Phone W1 Co.Address: to 2- N- AaCLSah St. City VJ lnrltl- .. ._ State-GA—Zip 301`8C License Holder(Print): Loy-en W. VaftedYK State CertL�6tr'l*"9. tr88jon# dt0043 Notarized Signature of License Holder��i1 B 6 Sworn and subscribed before me 's - day's$ 20_L� Signature of Notary Public . °,,,;,,,,.r,:,` +ty C4ttawicSrZn tHNeS: rd�r$r/ry ATLANTIC BEACH PERMIT RECEIPT L) Ofi Jr September 19, 2016 PERMIT DESCRIPTION:400 amps temporary pole PERMIT NUMBER: 16-ELEC-2101 ADDRESS: 102 AQUATIC DR OWNER: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Temporary Electrical Service $35.00 Trade Permit Base Fee $55.00 Totals: $9400 PAID SEP 19 2016 CITY OF ATLANTIC BEACH