1137 VIOLET ST - TEMP POLE ; S
!y-\J`1
i, rJJ�.
1‘
CITY OF ATLANTIC BEACH
s r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
\, INSPECTION PHONE LINE 247-5814
�J;31>r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2462
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE
Estimated Value:
Issue Date: 11/3/2016
Expiration Date: 5/2/2017
PROPERTY ADDRESS:
Address: 1137 VIOLET ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: ELITE ELECTRICAL SERVICES LLC
Michael Charles Schweitzer, EC13005843
Address: 11611 CAPE HORN AVE QA MICHAEL CHARLES
SCHWEITZER
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
P (904)247-5826 Fax (904)247-5845 1 (0 -ELEC,- Z4 Cv a
JOB ADDRESS: /l !
/ V/VI
� PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS WO AMPS ZCe VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground J Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service
•00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
0Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) •
0100 amps 0150amps 0200amps ❑ 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 ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
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 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 cx.41- Q K(„:2 )ebe�- t r\-Q Phone Number
Electrical Company . 9 ( i `/r(f 1 /'i (CO Office Phone ��fr"C/ Fax
Co.Address: [/ i ( ye f Cit , ,/,(,, / y ��'y" StateZip �/y
License Holder(Print): e h�� 9,7 stat.„0 fication/Registration#.-/- g())5n9
Notarized Signature o •, • - . er , f
PAPP"
0;:••, TONI GISSION tERGER n lL�' 20 l
_�'� __ MY COMMISSION�FF 924951 1.-fore me this 3 day o
ff$ EXPIRES:October 62019 I
a F; •' Bonded Neu Notary Pubic UnderxriteM ;gnature of Notary Public '