1852 SEA OATS DR TEMP23-0012 ;5�v.;% ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
r r, TEMP23-0012
CITY OF ATLANTIC BEACH
" ISSUED: 5/18/2023
. 800 SEMINOLE ROAD
Ar.)11)r v ATLANTIC BEACH, FL 32233 EXPIRES: 11/14/2023
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: 1 DESCRIPTION: VALUE OF WORK:
1852 SEA OATS DR ELECTRICAL TEMP POLE TEMP POLE $8000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0572 SELVA MARINA UNIT 09
COMPANY: ADDRESS: CITY: STATE: ZIP:
Powerplus Electric LLC 3032 Mercury Rd Jacksonville FL 32207
OWNER: ADDRESS: CITY: STATE: ZIP:
GOODRICH THOMAS 1852 SEA OATS DR ATLANTIC BEACH FL 32233
WINSTON IV
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:5/18/2023 1 of 2
Electrical Permit Application **ALL INFORMATION
f.
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
�E-
800 Seminole Rd, Atlantic Beach, FL 32233 -FEP Z3 ` ( Z
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: QtS2-3- ED7J
JOB ADDRESS: /,95-Z ")c? O4-5 J r PROJECT VALUE $ .). 6p
JEA INFORMATION REQUIRED ON ALL PERMITS: 30 AMPS 2-10 VOLTS / PHASE
El NEW SERVICE: 0 Overhead DCinderground DUnderground up Pole
DResidential (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps # of Meters
❑Commercial (Main) Service:
00-100 amps ❑101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑0-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: 30 amps
❑ SERVICE UPGRADE: ❑ amps OCT Service amps
n NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps ❑CT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30am ps 31-100amps 101-200am 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:
1 OTHER ELECTRICAL PROJECTS:
❑Swimming Pool Sign ❑Smoke Detectors (Qty) ['Transformers KVA ❑Motors 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
❑ether: 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: M -,2Qu ,4tA /C C.(R.3.- Phone Number:
Electrical Company: PC Uw46/ 1 c if if 41 C Office Phone: Q(8-4.q-91.3 9 S Fax: 2
Co. Address: 3052 /VIE✓Gt.2t /2
0 - City: jrQ,e State: Ft- Zip: 3'207
License Holder: 2<< ��n� 47x State Certification/Registration#: �/ ?a 2-3
Notarized Signature of License Holder _�
Thereg ine iaslu121ea • - • - - ged before me this Ii day of V il.) , 20 3 in the State :f Florida, County of bq.+=-r
kylo
r"i':... MICHAELMCCOY J
'' Notary Public.State of Florida Signature of Notary Public li
.'3 i if Commission%HH 243284
?an ' My Comm.Expires Mar 21,2026 ] Personally Known OR [ ] Produced Identification
Bonded through National Notary Assn.
ype of Identification: