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1345 Ocean Blvd temp pole new ser elec 2012 e p ` CITY OF ATLANTIC BEACH " ij 800 SEMINOLE ROAD 1, s) e. ATLANTIC BEACH, FL 32233 `� or)v INSPECTION PHONE LINE 247-5814 JF3l9'> Application Number 12-00001780 Date 12/05/12 Property Address 1345 OCEAN BLVD Application type description ELECTRIC ONLY Property Zoning RES SF DISTRICT Application valuation . . . • 0 Application desc temp pole Owner Contractor LINDLEY TOLBERT DESIGN INC MUNSON & BRYAN ELECTRICAL CO. 465 BEACH AVE 3434 ST.AUGUSTINE RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 396-6689 Permit ELECTRICAL PERMIT Additional desc . TEMP POLE Plan Check Fee . 00 Permit Fee . . . • 90 . 00 0 Issue Date . . • . Valuation . . . • Expiration Date . . 6/03/13 Other Fees STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 Fee summary Charged Paid Credited Due Permit Fee Total 90 . 00 90 . 00 . 00 . 00. 00 . 00 Plan Check Total . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 nn JOB ADDRESS: 13 I J GGeath g 1 v i PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS bb AMPS 19b VOLTS 1. PHASE VALUE OF WORK$ 1 NEW SERVICE ❑ Overhead ❑ Underground I J Underground up Pole 'Residential (Main)Service r=,0-100 amps 101-150amps ❑151-200amps amps #of Meters H Commercial(Main) Service ❑0-100 amps J 101-150amps ❑151-200amps ❑ amps 1 C Service amps Conductor Type Size -_'Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps C, amps # of Unit Meters Temporary Pole ❑ amps SERVICE UPGRADE Cl amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps 0 C 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) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG Other: 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. Property Owners Name Phone Number Electrical Company I 1 l orison Q Br f1 Ek Office Phone 396 - 6611 Fax 396- I I Co. Address: 3y3 15 . (ucbuSkin< Root City 3,c,Ks anvi'I1 State RL Zip 322Cr? License Holder (Print): 3O\r)n J C -a l " v StateCertification/Registration#EG—won 1 1(15 Notarized Signature of License Holder ,, ��11TY74;„i KIRK L.HEDRICK S • orn and subscribed before me this -ci day of � �w I 20 l L °', ' = Commission#EE 077680 / /,�G " Expires July 7,2015 �i J �� r ��.�e�,o� _nature of Notary Public AFF.11 Bonded Troy Fain Insurance 1 01-A1-1: (-4' 4 A CITY OF ATLANTIC BEACH ' � ij 800 SEMINOLE ROAD \\.\\.,._ -r: ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 12-00001728 Date 12/05/12 Application Number Property Address 1345 OCEAN BLVD Application type description SINGLE FAMILY RESIDENCE Property Zoning RES SF DISTRICT Application valuation . . . • 265000 Application desc NEW SINGLE FAMILY DWELLING Owner Contractor LINDLEY TOLBERT DESIGN INC BOSCO BUILDING CONTRACTORS 465 BEACH AVE 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 Structure Information 000 000 NEW SINGLE FAMILY DWELLING 2927 SF Construction Type . . . . . TYPE 5-B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit ELECTRICAL PERMIT Additional desc . Sub Contractor MUNSON & BRYAN ELECTRICAL CO. . 00 Permit Fee . . • • 145 . 00 Plan Check Fee . 0 Valuation . . Issue Date 6/03/13 Expiration Date . Special Notes and Comments SEE CORRECTION REPORT ATTACHED Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if Eseaa fiel coordination is 247-5834 . valve covers Ensure all l are set to grade and visible. A sewer cleanout must be installed at the property line . Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a e private well on the property. Backflow preventer must bent tested by a certified tester and a copy to Public Utilities . A Right-of-Way Permit must be obtained for use of pavers in the right-of-way. A Revocable Encroachment Permit must be obtained. Full right-of-way restoration, including sod, is required. PERMIT ISRt?1 OVfi fDNIDIAt lA1 'fltleiliWWI.IMI$t OTT k]EYCIf-P I1PA Ii4D9' HE FLORIDA BUILDING CODES. e w, `',s CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD s) J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Oftt Page 2 Application Number 12-00001728 Date 12/05/12 Special Notes and Comments and container cannot be placed on City Right-of-Way. (Approved: Advanced Disposal, Realco, Shappelle ' s and Waste Management. ) Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities . Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE FOR AN APPROVED FINAL MECHANICAL A/C INSPECTION, A STICKER SHALL BE INSTALLED ON THE AHU TO VERIFY THAT DUCTS HAVE BEEN SEALED, A CERTIFICATION SHALL BE ON SIGHT FOR THE INSPECTOR STATING THAT THE A/C SYSTEM PASSED THE "AIR BLAST INSPECTION" FROM AND INDEPENDENT TESTING AGENCY. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS TREE REMOVAL FROM SUBJECT PROPERTY FOR CONSTRUCTION OF NEW SFR IS COVERED BY TREE PERMIT #12-00100040 ; TREE REMOVAL FROM ADJACENT PROPERTIES FOR CONSTRUCTION OF NEW SFR ON SUBJECT PROPERTY IS A CIVIL MATTER TO BE RESOLVED WITH ADJACENT PROPERTY (TREE) OWNERS . SOUTH SIDE OF HOUSE FACES THE REAR OF ADJACENT STRUCTURE; THEREFORE SECTION 24-172 (c) (1) a DOES NOT APPLY; THIS PROVISION ONLY APPLIES IN THE CASE OF ADJACENT SIDE-TO-SIDE POSITIONING. Other Fees STATE ELEC DCA SURCHARGE 2 . 18 STATE ELEC DBPR SURCHARGE 2 . 18 Fee summary Charged Paid Credited Due Permit Fee Total 145 . 00 145 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 36 4 . 36 . 00 . 00 Grand Total 149 . 36 149 . 36 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: 1 3 LI 5 OGeakii 2/(ie) PERMIT# \Z. 112.$ JEA INFORMATION REQUIRED ON ALL PERMITS 30 O AMPS 29 b VOLTS 1 PHASE VALUE OF WORK$ 2.)00o.01;1 NEW SERVICE ❑ Overhead 11 Underground Underground up Pole ❑Residential(Main) Service 00-100 amps ❑101-150amps ❑151-200amps pl 3m amps #of Meters ❑Commercial(Main) Service 0 0-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0 200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-3 Damps 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 7 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can Ill Safety Inspection ❑Panel Change ❑OH to UG ❑Other: 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. Property Owners Name M c Phone Number Electrical Company /'I V 11 Sari d rJ ( rvj V\ E (t Office Phone 3°16 -‘611 Fax 396 - 1134 Co.Address: - `"1 S4 5f. AuQJUs)') 7 Rd City 3ctcrgottuilfr State Ft Zip 327-07 License Holder (Print): 3-0/1 in S a 1 1 n 0 - State Certification/Registration# /C-0001161 5 Notarized Signature of License H er , I / e•tier;.��s KIRK I-.HEDRICK �j da of 4.4 Vern- 20 I ,m = Commission#EE 077680 worn an. subscribed before me this q6"12 b�� = Expires July 7,Rr:;`F Boded lbw Troy Fain Insurance 800-385-7019 ignature of Notary Public