310 8th St A temp elec permit rs
CITY 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
30B INFORMATION:
Job ID: 17-ELEC-3571
Job Type: ELECTRIC ONLY
Description: ELECTRIC -TEMP POLE
Estimated Value:
Issue Date: 3/27/2017
Expiration Date: 9/23/2017
PROPERTY ADDRESS:
Address: 310 8TH ST A
RE Number: 169918-0100
GENERAL CONTRACTOR INFORMATION:
Name: SEASIDE ELECTRICAL CONTRACTORS
, ER13013518
Address: 12381 APPLE LEAF DR CA CLARK GEISSMAN
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904))J247-5826 Fax(904)247-5845 7_�C_3 S 7
JOB ADDRESS' 3/0 V T� J r�� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 5'� AMPS Z40 VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE LTJ Overhead ❑ Underground ❑f Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑0-100 amps 0101-150amps ❑151-200amps ❑ amps 0 C Service_amps
Conductor Type Size
❑Multi-Family(Main)Service
100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
emporary Pole ❑ 6a amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps DCT Service amps
ADDITIONS,REMODELS,REPAIRS,RUHJ)-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: Z 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits (a3 kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAUIS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can OSafety Inspection ❑Panel Change ❑OH to UG
❑Other.
Permit becomes void if work does not commence within asix month period or work is suspended or abandoned for six months. I hereby certify that I have
reed 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 4919
/LJ,r./ "I Phone Number
Electrical Companyq Ct DC7 t .z t- -7� . Office Phone .��`t'-0S� Fax &Z �(i
Co.Address: 2Z5- 1Z��1Ch ,-XJci Tr Z3�— State ffL Zip-?22 Y-4
License Holder(Frio[): RRIC --/S State Certification/Registration# 3S1 $
Notari r
MV COMMISSION YFF 9X951 Z dyy0 20 I
EXPIRES:Odober6.2019 B OCC me this
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