1629 Maritime Oak Dr TEMP23-0004 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
CHUNKO ANDREW T 1629 MARITIME OAK DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
Tri County Electrical
Contractors (TRI COUNTY
ELECTRICAL)
11637 E COLUMBIA PRK DR JACKSONVILLE FL 32258
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1629 Maritime Oak Dr ELECTRICAL TEMP POLE Temp Pole 60 AMPs $150.00
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: $94.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 3/15/2023
PERMIT NUMBER
TEMP23-0004
ISSUED: 3/15/2023
EXPIRES: 9/11/2023
ELECTRICAL TEMP POLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 3/15/2023
PERMIT NUMBER
TEMP23-0004
ISSUED: 3/15/2023
EXPIRES: 9/11/2023
ELECTRICAL TEMP POLE PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Electrical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL32233
Phone: (904) 247-5826 Emai|: Eq;ldins D-Cpt@qqah,US
JOB ADDRESS; 1:629 MARITIME OAK DR.PROJECT VALUE s$ 150'oo
JEA f NFORMATION REQUIRED ON ALL PERMITS:'99 RVlpS 240 VOLTS 1 PHASE
t rurw sERVrcE:flOverhead fiUnderground filJndergroundupPole
EResidential (Main) Service:
flO-100amps 8L01-1"50amps
flCommercial {Main) Service:
ilo-looamps iltot-tsoamps
Conductor Type
fl Multi-Family (Main) Service:
ffi-1oo amps fll1ot-tsoamps fltst-zooamps
**AI-L'IN.FORMATION
FIIG.FILIGF TED IN
G:RA*Y lS REQUIRED.
8151-200amps
ffitst-zooamps
Size
il amps
fl amps
ffi-amps
# of Meters
flCT Service _ amps
# of Unit Meters
-X U re nnpoRARy poLE: oo amps
f se nvrcE UPGRADE: n amps
I rrrrw FEEDER (ADDrroNs, AccEssoRy srRucruREs, ETC.):
fl100 amps ffitsoamps flzooamps
f] noorroNs, REMoDELs, REpArRs, BUrLD-ours, AccEssoRy sTRUCTURES, ETC:
Outlets/Switches; _0-30a m ps 3 1-100a m ps
Appliances:0-30a m ps
A/C Circuits: _0-60amps
Heat Circuits: # circuits @_kw
Number of Lighting Outlets, Including Fixtures:
E orrr* ELE.TRTcAL PR'JECTS:
lswimming Pool ESign [Smoke Detectors (Qty) [rransformers
I rtnr ALARM SYSTEM (Requires 3 sets of plans):
Qty _ volts/amps
f nennrns/MrscELLANEous:
f]Replace Burnt/Damaged Meter Can nsafety Inspection lPanelChange loH to ue
Fther:
nCT Service amps
amps ffiT Service _ amps
3 L-100a m ps
61-100a m ps
1-01--200a m ps
1-01-200a m ps
KVA LMotors _ HP
updoted L0/17/18
PERMIT #:
Permitbecomesvoidifworkdoesnotcommencewithinasixmonthperiodorworkissuspendedorabandonedforsixmonths. lherebycertifythatlhave
readthisapplicationandknowthesametobetrueandcorrect. All provisionsof lawsandordinancesgoverningthisworkwill becompliedwithwhether
specifiedornot, Thepermitdoesnotgiveauthoritytoviolatetheprovisionsof anyotherstateorlocal lawregulationconstructionortheperformanceof
bffi':l''X:fi . R:r\rERS r DE r.+oM ES
Electrical Company: TRI COUNTY ELECIRIC Office Phone : :(e04) 260!e66e FaX.(soa) 260-9688
Co, Address: 11637 COLUMBIA PARK DR. E City: JACKSONVILLE State: rLFL 7ip1 32258
License Holder: C,LAREN.CE T[B:BS State Certif ication/Registration #: E-C1 301 1'42 1
Phone Number: (904) 503-7055
NotarizedsisnqtureofLicensenouer 13, ffi -." . . *-
The foregoing instrument was acknowledged before me this I Y d ay of ft\arc.L ,20>3 , in the State of Florida, County of bJrral
Signature of Notary euillcJL'w--Z>-- fe-Z^( ,
b,dersonattVl(nown OR [ ] Produced ldentification
Type of ldentification:
..:ic! nj;, TAMMY PALL,f/f'l\\-qi Notary Public-State of Florida
'et fii'J."J Commission # GG 981450'ltYl'o::' My comm. Expires Jul 6, 2024''''' Bontled through National Notary A55n.
TEMP23-0004