659 BEACH AVE - TEMP POLE 1t� CITY OF ATLANTIC BEACH
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j 800 SEMINOLE ROAD
J =" 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: 15-ELEC-2039
Job Type: ELECTRIC ONLY
Description: TEMP POLE 60 AMP, 240 VOLTS, 1 PH
Estimated Value:
Issue Date: 8/27/2015
Expiration Date: 2/23/2016
PROPERTY ADDRESS:
Address: 659 BEACH AVE
RE Number: 170118-0000
PROPERTY OWNER:
Name: MCGURRIN, JOSEPH J
Address: 659 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: UNITED ELECTRIC COMPANY OF
Address: 5716 ST AUGUSTINE RD QA JOHN E GRIFFIN JR
Phone: - -
FEES: -------
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Temporary Electrical Service $35.00
Total Payments: $94.00
PERIIII'I' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATI ANTIC I3EACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION S / 00 L
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
659 Ph(904) 247-5826 Fax (904) 247-5845JoB ADDRESS: q 6 C c c Ih A v t. T p o )- PERMIT# 15- I d 0 o
JEA INFORMATION REQUIRED ON ALL PERMITS (a 0 AMPS GI 0 VOLTS .. I PHASE
.VALUE OF WORK$ /5o, OD
NEW SERVICE ❑ Overhead ❑ Underground E1J Underground up Pole
OResidential (Main) Service
00-100 amps 0101-150amps ❑151-200amps 0 amps # of Meters
0 Commercial(Main) Service
00-100 amps 0101-150amps 0151-200amps 0 amps 0 C Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0 101-150amps 0151-200amps 0 amps # of Unit Meters
Temporary Pole 0 60 amps - 0 !-1
,
SERVICE UPGRADE 0 amps 0 CT Service amps
1 NEW FEEDER(ADDITIONS,.ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150ampp 0200amps 0 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:
O M R ELECTRICAL PROJECTS
OSwimming Pool 0 Sign 0 Smoke Detectors Qty 0 Transformers KVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/M1SCELLANEOUS
OReplace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change 0 O 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 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. GA r1 G r, d-e
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Property Owners Name rn c. C T \ e S Phone Number Li 63 'it, 0 V
Electrical Company U,n : VI) E.)e c. )-r-11-- Co 0 I ,J-‘--/ Office Phone-7 3) - Y Z/0 Fax -3 31-53 11
Co.Address: 5..1) L, 5 } . A v j,),I ^4- l Z 1 City J G)G State fl- zip 3 °7
License Holder(Print): 14 , (1(, . a U.'. A' Sr- -,,- State Certification/Registration# CC 130053 to
Notarized Signature of License Holder X . l�2'�t'"�
P MARILYN E.TARPLEY Sworn and subscribed before me this ,-),1 r1s_ day of 1; U Is u ST 201S
MY COMMISSION k EE877822
a ` EXPIRES:March 30,2017 Signature of Notary Public ■ ,61 _*, �.. l _ _ : - -
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