The URL can be used to link to this page

1620 Maritime Oak Dr temporary pole permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1 � ATLANTIC BEACH,FL 32233 _ INSPECTION PHONE LINE 247-5814 r I S) ELECTRICAL PERMIT MUST CALL BY 413M FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ELEC-2280 Job Type: ELECTRIC ONLY Description: temporary pole -40 amps/240 volts/single phase Estimated Value: $200.00 Issue Date: 10/11/2016 Expiration Date: 4/92017 PROPERTY ADDRESS: Address: 1620 MARITIME OAK DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: MUNSON & BRYAN ELECTRICAL CO. ,EC0001795 Address: 3434 ST AUGUSTINE RD QA JOHN MICHAEL SCIOLINO 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 /�/��J �vI ,P (904)247-5826 Fax (904,))2247-5845 �(0_eLt - G� JOB ADDRESS: 14"o r i t't�/ �/M C ©5 /r - �/ y PERMIT# L JEA INFORMATION REQUIRED ON ALL PERMITS O_AMPS 2! d VOLT3 / PHASE ryf VALUEOFWORKS 200 NEW SERVICE El Overhead y�l Underground DUnderground up Pole f7Reddlential(Main)Service IJO-IOOamps 0101-150amps ❑151-200amps 0 amps 9o Meters_ FICommercial(Main)Service 110-100 amps 0101-150amps Ll151-200amps 0—amps ❑CTServica amps Conductor Type Size f(Multi-Family(Main)Service no-100 amps ❑101-ISoamps ❑151-200amps It amps #of Unit Meters_ oIremporaryPole Champs SERVICE UPGRADE IIamps LI CT Service_strips NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑IOOamps 0150amps J200amps ❑ amps GCT 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-I00amps Heat Circuits: # circuits @kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA I.IMotors_hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORK S REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Mater Can (_(Safety Inspection (]Panel Change COHto 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 the([have read this application and know the same to be true and correct. All previsions of laws and ordinances governing this work will be complied with whether specified or nal The permit does not give authority to violate the provisions of any other state or local law regulation construction orthe performance of construction. a��a Property OwnersName Al/A A7o//,r/6 U4/��/S Phone Number g� �67O/ Electrical Company /YN4,j5o,/ 9'r? U/E4,1 /`'LL/ !G Offic-c-Z-7y 3 �G�G�a / Fac �b��b Co.Address: 3V 3 l/ Sf A'S 4S✓i1K City Z3 9}r State L Zip 3�07 License Holder(Print): V..N Scho u+00e Celtification/Registration# EG 000 rm5 Notarized Si nature o Licenselfo[der ,gip.,•• JOSEPH GOY CAU ON Y 4s Conn t situ I FF 244825 Sworn an subscribed before me this ) day of O cFe 5e-r 20L kf Expires July 16,2019 •r swe,0. gn,.v.,...,waoraa Signature of Notary Public --