527 Atlantic Beach Ct TEMP19-0007 temporary pole permit RICTRICA1 TIMP P011 PIRMIT PERMIT NUMBER
Alum- TEMP19-0007
am CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 2/7/2019
1W ATLANTIC BEACH, FL 32233 EXPIRES: 8/6/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county,and there may be additional permits required from other
governmental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:--
527 ATLANTIC BEACH CT ELECTRICAL TEMP POLE 40 amps/240 volts/single- $15000.00
phase -temporary pole
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695051415 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
MUNSON & BRYAN 3434 ST AUGUSTINE RD JACKSONVILLE FL 32207
ELECTRICAL CO.
OWNER: ADDRESS: CITY: STATE: ZIP:
MICHAEL AND HOLLY 1661 ATLANTIC BEACH DR ATLANIC BEACH FL 32233
IZARD
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
0
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
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ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
TEMP19-0007
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 2/7/2019
W69 EXPIRES: 8/6/2019
ATLANTIC BEACH. FL 32233
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date:2/7/2019 2 of 2
L7 :
'O*A INFORIVIQ��
Electrical Permit Application
HIGHLIGHTAD
City of Atlantic Beach Building Department i
'4,6. C M,�'
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826-Emall: Building-Dept@01coab.us PERMIT#. T&)140 H� 004
JOB ADDRESS:X7 Atlantic Beach:. LUE$FV� ��.00
PROJECT VA
-AMPS�'2i6'"'
JEA INFORMATION REQUIRED ON ALL PERMITS: VOLTS PHASE
NEW SERVICE: E3 Overhead ElUnderground OUnderground up Pole
CResidential(Main)Service:
[30-100 amps 0101-150amps 0151-200amps Q-Lo�amps 4 of Meters I
Mornmercial(Main)Service:
00-100 amps 0101-150amps 0151-200amps EL—amps OCT Service amps
ConcluctorType Size
MMulti-Family(Main)Service:
M100 amps [3101-150amps 12151-200amps 0 amps #of Unit Meters
TEMPORARY POLE: 40 amps
SERVICE UPGRADE:E] amps OCT Service amps
F-I NEW FEEDER(ADDITIONS*,ACCESSORY STRUCTURES, ETC.):
E]100amps [3150amps 0200amps E3_amps EICT Service_amps
El ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: —0-3 Oa m ps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixtures:
El OTHER ELECTRICAL PROJECTS:
OSwimming Pool E1SIgn [3Smoke Detectors (Qty) EIrransformers KVA []Motors HP
F]FIRE ALARM SYSTEM(Requires 3 sets of plans):
Ctty volts/amps
REPAIRS/MISCELLANEOUS:
E]Replace Burnt/Damaged Meter Can OSafety Inspection E]PanelChange []OH to UG
Upda W 10/17118
[I)ther:
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 th Islons of any other state or local law regulation construction or the performance of
construction. L4;51 Phone Number: k
Owner Name:A4, NNW
Fax:
Electrical Company: munson and Bi�i4t Office Phone:!jKe
wot
Co.Address: 3434 SL Augustine Rd �7 State:9=zip:
city:.'
Ucense Holder:.j6h,n Sciolln6 -State Certification/Registration#:1
Notarued Signature of License Holder
The foregoing Instrument was acknowledged before me this 30th day qf 20 e State of Florld County of Duval
Signature of Notary Public
Tammy Dennard N Personally Known OR Produced Identification
NOTARY PUBLIC Type of identification:
STATE OF FLORIDA
Comm#GG168521
Expires 12/14/2021
Cash Register Receipt Receipt Number
City of Atlantic Beach R8082
DESCRIPTION ACCOUNT QTY PAID
PernnitTRAK $243.18
ERES19-0046 Address: 527 ATLANTIC BEACH CT APN: 169505 1415 $149.18
ELECTRICAL $145.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 300 $90.00
STATE SURCHARGES $4.18
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.18
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TEMP19-0007 Address: 527 ATLANTIC BEACH C7 APN: 169505 1415 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8082 $243.18
CITY OF ATLANTIC BEACH
800 SEPINOLE RD
ATLANTIC BEAC,FL 32233
02,,07 2019 09:27:32
CREDIT CARD
MC SALE
Card XVXVMXX5142
SEQ 2
Bakh 787
INVOICE 2
Approval Code: 69376G
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: M
SAIE AMOUNT $243-18
Date Paid:Thursday, February 07, 2019
Paid By: MUNSON & BRYAN ELECTRICAL CO. CUSTOMER COPY
Cashier: CB
Pay Method: CREDIT CARD 69376g
Printed:Thursday, February 07,2019 9:28 AM 1 of 1 ir