760 Sailfish Dr temp pole permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 16-ELEC-2667
Job Type: ELECTRIC ONLY
Description: ELECTRIC -TEMP POLE
Estimated Value: $200.00
Tssue Date: 11/29/2016
Expiration Date: 5/28/2017
PROPERTY ADDRESS:
Address: 760 SAILFISH DR
RE Number: 171204-0000
PROPERTY OWNER:
Name: TCI TWO LLC
Address: 9191 Rg Skinner PKWY#501
GENERAL CONTRACTOR INFORMATION:
Name: MUNSON & BRYAN ELECTRICAL CO.
,E00001795
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
JOB ADDRESS: 7(P 0 S.A\-55 h Nnif- kAt"J w B2ac.I.i PL- PERMIT# 1LS FR -dl4N
JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS 2% _VOLTS a la PHASE
VALUE OF WORK$ 220 -00
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
00-100 amps 11101-150amps 11151-200amps 1:1-amps #of Meters
❑Commercial(Main)Service
❑0-100 amps 0101-150amps ❑151-200amps ❑ amps ❑CTService_amps
Conductor Type Sim
[]Multi-Family(Main)Service
100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
@Temporary Pole 17_(.o _amps
SERVICE UPGRADE []-=PS ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC-
Outlets/Switches: 0-30amps 311100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @7� — kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of pians&Fire Alarm Checklist) VALUE OF WORK S
Qty_volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
❑Other. ism .[G ler N'a,.l �a«SlrvaMw
ths. I hereby certify that 1 have
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six mon
read this application and know the same to be one and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not 'fie 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 TG% Go s-h Lhon k W'r bu-, Phone Number 337 43aS
Electrical Company M rvS n +(( yam £ler%k c-« Office Phone %(1 1.(-%I Fax 39L-U34
Co. Address: 3'm d 5'r (ww S't'ove - City lte_ State E' Zip 3 x-07
License Holder(Print): S
a (t,s-n Certification/Registration# 0.0 1715
Notarized Signature of License Holder
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