398 Sherry Dr temp pole permit Y
CITY OF ATLANTIC BEACH
s> 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
JOBINFORMATION:
Job ID: 16-ELEC-2693
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE
Estimated Value:
Issue Date: 12/2/2016
Expiration Date: 5/31/2017
PROPERTY ADDRESS:
Address: 398 SHERRY DR
RE Number: 170483-0000
PROPERTY OWNER:
Name: EVANS,JOHN R LIVING TRUST,
Address: 14701 MARSHVIEW DR
GENERAL CONTRACTOR INFORMATION:
Name: HUNTER ELECTRIC
Robert D. Hunter, EC13002350
Address: 11624 DAVIS CREEK RD QA ROBERT D HUNTER
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 2
800 Seminole Rd,Atlantic Beach,FL 32233 I _ E��_z�9✓
pry Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: I o 3y ray !Nr-, ,Ie— PERMrr#I(d-SFR:7347
NEW? SVAVICE ❑Overhead ❑ Underground Underground up Pole
esidential(Main) Service
00-100 amps F1101-150amps 0151-200amps )4Lamps # of Meters_
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps []___--amps ❑CT Service amps
Conductor Type Size
[]Mufti-Family(Main)Service
[10-100 amps ❑101-150amps ❑151-200amps []__-----Amps #of Unit Meters
Temporary Poleamps
SER CE UPGRADE ❑ amps ❑ 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 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
❑SwirnmingPool ❑ Sign ❑SmokeDetectors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can El 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 cemfy that I have
read this application and know the same to be true and correct All provisions of laws and ordinances goveming this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of nny other state or local law regulation construction or the performance of
construction.
Property Owners Name W pw 4WIC.— Phone Number
Electrical Company t-�t L � `LUAAr' r Office Phone �la4-42b3 Fax W -co73
Co. Address: 11�` y Oa tL tl-A sc- City�a` — State-Zip $a
License Holder (Print): O -'el;*- "ertification/Registration# F-Way-2:Jco
Notarized Signature of License Holder
REBECCA RUSH
Notary Public,Stere of Florida Swoon and subscribed beforeis Qof u 20_YL
My Comm.Expires July 12,2017M
Commission No.FF seas Signature of Notary Public