1730 PARK TER E - TEMP POLE ryi .Ly.rJv�
� �
]i .`s� CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
.5 t ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3885
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE
Estimated Value:
Issue Date: 5/3/2017
Expiration Date: 10/30/2017
PROPERTY ADDRESS:
Address: 1730 E PARK TER
RE Number: 172020-0394
PROPERTY OWNER:
Name: Moore, Paul
Address: 1730 Park TER
GENERAL CONTRACTOR INFORMATION:
Name: TRI COUNTY ELECTRICAL
Kevin Lee Weir, EC13005421
Address: 11637 E COLUMBIA PRK DR QA KEVIN LEE WEIR
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: $94.00
PERMIrr IS :APPROV'I;D ONI X IN ACCORDANCE Wren AL1. CHI' OF ATLANTIC BEACH ORDINANCES AND TUE FLORIDA
BI II.DINC CODES.
05/02/2017 18:58 9042609688 TRICOUNTY PAGE 01/01
il p ELECTRICAL PERMIT APPLICATION (nr'' 5r1
CITY OF ATLANTIC BEACH v
^ � 800 Seminole Rd, Atlantic Beach, FL 32233 i7 -'� - 3
855
OJA/ Ph (904) 247-5826 Fax (904) 247-5845 i'') ,.re,A-oto
JOB ADDRESS:- 1 r) ? ?o_n.f_ ,(4 �G= = - PERMIT# 30.
JEA INFORMATION REQUIRED ON ALL PERMITS c2-1:-1() _AMPS . t'O VOLTS ( PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
°Residential (Main) Service
00-100 amps 0101-150amps 0151-200amps C amps # of Meters
°Commercial (Main) Service
00.100 amps 0 101-150amps 0151-200amps D amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service
;I0-100 amps 0101-150amps 01151-200amps 0 amps # of Unit Meters
Temporary Pole 0 661 amps l'CO-Nh .m.Q-+.1`` 17 4/7 6
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
C100 amps 111150amps 0200amps Ei 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
U Swimming Pool 0 Sign 0Smoke Detectors Qty :Transformers KVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK 3i
Qty volts/amps
REPAIRS/MISCELLANEOUS
i:IReplace Burnt/Damaged Meter Can OSafety inspection OPanel Change C'I OH to UG
UOther:
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 or
construction. fL.LL2.Property Owners Name till Od C Phone Number
Electrical Company
' 1 r i x-12,',r� L L:1 eC. Cel*. ti1G. Office Phone 90y sa-lno-e,76, 9 Fax/ %f-41',,_`,
0 Co. Address: ,TIO 3'7 F. Cc..�v,�S ,_(, � r'• r!- _ City State L Zip '3•')- ,5
License Holder (Print): f"42 vi r\ L., tv.e. , r V — tate ert' 'cation/Registration# AZ)3 9.1)
il .. .e'2�.. :,.J 9.t
�,.,,;.. tZt'� cg �� ''"�'�"''�` .ace.` Holder
}, r etete a i�rorlr. Sworn and subscribed before me th:i'1 day of �')6. 20!4=7'''0 ci�wnba���ees�2s
. My 0dti . Nihon Jul 6,2020 of NotaryPublic_
tdlgtltrougnithtionalNotatyAssn, Signature