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1964 FRANCIS AVE TEMP23-0003 Electrical Permit Application **ALL INFORMATION / t '' HIGHLIGHTED IN J r City of Atlantic Beach Building Department GRAY IS REQUIRED. • 800 Seminole Rd, Atlantic Beach, FL 32233 1 E IY\PZ 3- j 3 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: - , Fp\►wc.-l5 AU a. PROJECT VALUE $ SOO• pe JEA INFORMATION REQUIRED ON ALL PERMITS: GO AMPS 2 -I;J-fO VOLTS \ PHASE NEW SERVICE: Overhead Underground Underground up Pole uResidential(Main)Service: D0-100 amps u101-150amps u151-200amps amps # of Meters nCommercial (Main)Service: 0-100 amps 101-150amps :i151-200amps amps CT Service amps Conductor Type - Size nMulti-Family(Main) Service: 0-100 amps ; 101-150amps 151-200amps , , amps #of Unit Meters ,y\TEMPORARY POLE: 6f) amps I 1 SERVICE UPGRADE: amps CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 100 amps 150amps ! 200amps - amps CT 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: L--I OTHER ELECTRICAL PROJECTS: :Swimming Pool ❑Sign uSmoke Detectors (Qty) Transformers KVA Motors HP FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps REPAIRS/MISCELLANEOUS: r_Replace Burnt/Damaged Meter Can : Safety Inspection Panel Change OH to UG uOther: 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. 1 Owner Name: Ctir5 (_ 1arn ,,r-1-SorJ Phone Number: 10- 3 1 '- i 2303 Electrical Company: OCEAt' C."UREr - ELEC . LLC Office Phone: qa4 - t-ft{L -SQ&3 Fax: Co.Address: 6L-c. s ex c+/'-1 Asia S City: .,tuo c --- State: F1 Zip: 3 -Z5Q License Holder: GrA-e l iQYl YVI c.vn h State Certification/Registration#: ER 130 1 EA 5.3 Notarized Signature of License Holder - 7'' The foregoing instrument was acknowledged before me this 7 day of ,20 d e State of Florida,County of #--- 'jj-,,,,. Signature of Notary Public ( Fis. .: '!G ND LE`RGER personally Known OR 1 ) Produced Identification /� iifdISSION q GG 35317E Type of Identification: ( f PlRES:Octobe � rt,2023 E2'Ce 'hN Nalary pubic_ xriters 01.:_i ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER fiL TEMP23-0003 CITY OF ATLANTIC BEACH ISSUED: 2/7/2023 �� c� 800 SEMINOLE ROAD EXPIRES: 8/6/2023 ''31V ATLANTIC BEACH. FL 32233 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: I PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1964 FRANCIS AVE ELECTRICAL TEMP POLE TEMP POLE- 60 amp $500.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172168 0000 DONNERS R/P COMPANY: ADDRESS: CITY: STATE: ZIP: OCEAN CURRENTS S JACKSONVILLE 511 LOWER 8th ST FL 32250 ELECTRICAL LLC BEACH OWNER: ADDRESS: CITY: STATE: ZIP: CAPE CHARLES CDL LLC 960 Paradise Cir Atlantic Beach FL 32233 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. 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 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$94.00 Issued Date:2/7/2023 1 of 2 �(r- k,f/�_ Electrical Permit Application **ALL INFORMATION g �, HIGHLIGHTED IN "' City of Atlantic Beach Building Department GRAY IS REQUIRED. r _ 800 Seminole Rd, Atlantic Beach, FL 32233 EMPZ.3� 3 "j''r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 1%7(4 'Fi intr c t AUS PROJECT VALUE$ SOO' Oe JEA INFORMATION REQUIRED ON ALL PERMITS: GO AMPS 240 VOLTS t PHASE ❑ NEW SERVICE: o Overhead ❑Underground CI Underground up Pole ❑Residential (Main)Service: ❑0-100 amps E101-150amps o151-200amps ❑ amps #of Meters ❑Commercial(Main)Service: ❑0-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main) Service: ❑0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters TEMPORARY POLE: �� amps ❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps ❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.): ❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps ❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30am ps 31-100amps 101-200a m ps 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 iMotors HP ❑ FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps ❑ 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. / 1 I Owner Name: C(/�'w 5 Lar✓1b.X-I-50 rJ Phone Number: cloy 344 4 2803 Electrical Company: d CEAt' CUIZQEr- ELEC.• (-Lc Office Phone: CRL{- cel{L( -8003 Fax: Co.Address: 66 II Lower( (5 +1"1 4,)2 S City: ,cu4 19ce State: Fl Zip: 3z2-50 License Holder: SA-e-tje.n VVI cn v,v1 _ State Certification/Registration#: ER t30 154 5 3 Notarized Signature of License Holder 4-froa-----24i-it.� I The foregoing instrument was acknowledged before me this 7 day of - 411, ,20.111 0e State • Florida,County of lJ C ' � Signature of Notary Public Q •,,q". _ ..... -.7 G�NDLESPERGER Y I I ��<'`"�'' � � ersonall Known OR Produced Identification �; �~'- - �'�`��::OIviMISSION#GG 353178 Type of Identification: '•'r•� :.. i_XPIRES: .,FaF F„6, October 6,2023 '' Bonded Thru Notary public Underwriters