1137 Violet St temp pole permitCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
IOBINFORMATION:
Job ID:
17-ELEC-3461
Job Type:
ELECTRIC ONLY
Description:
ELECTRIC - TEMP POLE
Estimated Value:
Issue Date:
3/10/2017
Expiration Date:
9/6/2017
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
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: $94.00
PERMIT LS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
X7-7 Ph (/904) 247-5826 Fax (904) 247-5845 !7- cc.EC.-z4 (o
JOB ADDRESS: �/ /Rll/ / _L 6_14� PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 4tVOLTS
( PHASE
4SO
City ' IZ4 State Zip
VALUEOFWORK$
License Holder (Print):
NEW SERVICE ❑ Overhead
'teaidential (Main) Service
E10-100amps ❑ 101-150amps
❑ Commercial (Main) Service
110-100 amps [1101-150amps
Conductor Type Sim _
❑Multi -Family (Main) Service
110-100 amps 0101-150amps
AiTemporary Pole D462—amps
SERVICE UPGRADE ❑ amps
TTudergmund ❑J Underground up Pole
'I-200amps ❑ amps
❑151-200amps ❑ amps
11151-200amps ❑ amps
❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps ❑200amps ❑ amps ❑ CT Service
# of Meters
❑CT Service amps
# of Unit Meters
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
[:]SwimmingPool ❑Sign ❑ Smoke Detectors Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Bumt(Damageo Meter Can 0Safety Inspection []Panel Change ❑OH to UG
Permit becomes void ifwork 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. r
Property Owners Name 4'- Phone Number q
Electrical Comp an r f �1 ��TJ- Office Phone (° I 5.0 fa
Fax
Co. Address: /
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City ' IZ4 State Zip
License Holder (Print):
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Signature of Notary