1672 ATLANTIC BEACH DR TEMP22-0006 0Liv. ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
3
\� CITY OF ATLANTIC BEACH TEMP22-0006
800 SEMINOLE ROAD ISSUED: 3/29/2022
"(_`',1 ).. ATLANTIC BEACH. FL 32233 EXPIRES: 9/25/2022
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:
1672 ATLANTIC BEACH DR ELECTRICAL TEMP POLE TEMP POLE $350.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1725 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
BEACHES ELECTRICAL GREEN COVE
214 COKESBURY CT FL 32043
SERVICES INC. SPRINGS
OWNER: ADDRESS: CITY: STATE: ZIP:
CALDER M ATTHEW 1672 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233
ALEXANDER
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.
' _____
7DESCRIPTION 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
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:3/29/2022 1 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
ti 800 Seminole Rd, Atlantic Beach, FL 32233 14,c Q- ZZ —0631
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: LQ `2—dDOG
JOB ADDRESS: 1672 Atlantic Beach Dr PROJECT VALUE $$ 350.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
n NEW SERVICE: 0 Overhead DUnderground ['Underground up Pole
DResidential (Main)Service:
00-100 amps 0101-150amps 0151-200amps El amps #of Meters
OCommercial (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑13-100 amps 0101-150amps 0151-200amps Q amps #of Unit Meters
Fl I TEMPORARY POLE: 50 amps
SERVICE UPGRADE: 0 amps OCT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps D200amps ❑ amps DCT 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:
❑Swimming Pool Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
[Other:
Updated 10/17/18
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.
Owner Name: Calder, Matthew Phone Number: (203)610-0231
Electrical Company: Beaches Electrical Service Inc Office Phone: (904)629-3182 Fax:
Co.Address: 214 Cokesbury Ct City: GCS FL
State: Zip: 32043
License Holder: Todd Lockwood .te Certification/Registration#: EC13009644
Notarized Signature of License Holder Z,��
Ti- . -•. •• 04 • ••• • •:ed befo e this day of4NO ;•0 a State of FI ida,County of
� rayc: TONI GINDLESPERGER
Signature of NotaryPublic •
MY COMMISSION#GG 353178 g
,. P�: EXPIRES:October 6,2023 [ ersonally Known OR[ ] Produced Identification
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�F�, Bonded Thru Notary Public Underwriters
. Type of Identification: