570 COASTAL OAK LN - TEMP POLE , I
CITY OF ATLANTIC BEACH
, "" ,;;. 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
`-�%� • �%' INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP17-0005
Description: 30 amps/240 volts/single-phase temporary pole
Estimated Value: 100
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 570 COASTAL OAK LN
RE Number: 169505 2040
PROPERTY OWNER:
Name: TOLL BROS.,INC
Address: 250 GIBRALTAR RDSTEVEN R MERTEN
HORSHAM, PA 19044
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MCDONALD ELECTRIC
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER
JACKSONVILLE, FL 32254
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 MAO 11— COOS-
JOB ADDRESS: C'-'70 Cvc-S Twrt_ 61/714-5- Cr, PERMIT# /1- S - 3 i 7 r
SEA INFORMATION REQUIRED ON ALL PERMITS 30 AMPS 2-40 VOLTS I PHASE
VALUE OF WORK$ WO.O. 00
NEW SERVICE n Overhead n Underground nI Underground up Pole
Residential(Main)Service
_0-100 amps -101-150amps =151-200amps .2 amps #of Meters
Commercial(Main)Service
70-100 amps =IDI-150amps l 51-200amps - amps =CT Service amps
Conductor Type Size
=Multi-Family(Main)Service
L0-100 amps .101-150amps :151-200amps 7 amps # of Unit Meters
-� m orary Pole L 3 0 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: 0-3 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 EL IrCI?RICAL PROJECTS
Swimming Pool E. Sign =Smoke Detectors Qty =Transformers ICVA =Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can '_-:Safety Inspection -Panel Chance =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 I-6C,(- ( voh1-t-- Phone Number
Electrical Company /1't L►)t)A( t:( Office Phone Fax
Co.Address: 32..t i t^' • 6ec"✓-A./ - City ., State K., Zip 3Z 25L1
License Holder(Print): Ca✓✓ev 6 C State rtification/Registration# �--' 1' gy
Notarized Si nature o e !der �'
,������,, CHRIS M.THOMAS ,�
.p,Ppr u,,,,,,
;=o; Notary Public -State at Florida SW0111 and subscribed fore me this 1 day of 20 I
1
. j :i Commission #FF 943 ,.9. My Comm.Expires Dec 15,2019 Signature of Notary Public (/ !`�" g.I.---•--
�''',,,;:,:?' Bonded through National Notary Assn.