2338 FIDDLERS LN TEMP22-0017 s0L.A.'' ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
r TEMP22-0017
CITY OF ATLANTIC BEACH
~ 800 SEMINOLE ROAD ISSUED: 8/30/2022
"to'3 .9...V ATLANTIC BEACH, FL 32233 EXPIRES: 2/26/2023
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:
2338 FIDDLERS LN ELECTRICAL TEMP POLE TEMP POLE FOR OUTDOOR
ITEMS $500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0138 OCEANWALK UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
SOUTHEAST ELECTRICAL 12900 BROXTON BAY DR #618 JACKSONVILLE FL 32218
COMPANY LLC
OWNER: ADDRESS: CITY: STATE: ZIP:
TIMOTHY J MCGILL AND
LAURA L MCGILL LIVING 2338 FIDDLERS LN ATLANTIC BEACH FL 32233-4681
TRUST
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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.
FEES
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
Issued Date:8/30/2022 1 of 2
Jr _ Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
''''9 Phone: (904) 247-5826 Email: Buildin -
g Dept@coab.us PERMIT#:IEPA:QZZ Dot'
JOB ADDRESS: '3-5 q c:-.1�n1-i e.4) Lk) PROJECT VALUE $ 6-0 U
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS -Zy() VOLTS / PHASE
n NEW SERVICE: 0 Overhead ❑Underground ❑Underground up Pole
OResidential (Main) Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial (Main)Service:
00-100 amps 1:1101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
❑0-100 amps 1:3101-150amps 0151-200amps 0 amps #of Unit Meters
TEMPORARY POLE: / CO amps
El SERVICE UPGRADE: ❑ amps ❑CT Service amps
n NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps ❑150amps 1:1200amps 0 amps al-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:
111 OTHER ELECTRICAL PROJECTS:
❑Swimming Pool❑Sign ❑Smoke Detectors (Qty) ['Transformers KVA ['Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans): �� oL,7.SE ,S --T-Q
Qty volts/amps �J V C Kn REPAIRS/MISCELLANEOUS: C� ��t ��
['Replace Burnt/Damaged Meter Can OSafety Inspection [Panel Change
DOH to UG
❑Jther: 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. _—i . A � J
Owner Name: 1 l ir"I �"le (It LI_ Phone Number: 9°043-1/6-73 IV I
Electrical Company:'c.'Vi1-j 5. (LEC_TV ICJ\L 6:3 Office Phone: 9O-5 31 H Aa 3 Fax:
-
Co.Address: I d5O a ►oma 1�/H x City: VL *.M it State: fl Zip:5 L z-1
License Holder: '11I1,) tk-XP1%*-E /'I State Certification/Registration#: &C-130045-1 0
Notarized Signature of License Holder 1 iti Phi YS/C.-11 f'/Elea r
The foregoing instrument was acknowl ged before me this day of tt''//�/ousr" ,209_.2-,in the State of Florida,County of Ll�/� /PI-
,
of Notary Public Gl/ '(/ 4..--Q-
4'trvey WILLIAM L.POPE
• pis . MY COMMISSION#GG 348645 Personally Known OR [ 1 Produced Identification
'..1:f;
,• .. EXPIRES:October 19,2023 pe of Identification:
':;°ot r;g, Bonded Thru Notary Public Underwriters