340 OCEAN TP 2017 0,
o CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
"3 INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP17-0009
Description: 100 amps/240 volts/single-phase-temporary pole
Estimated Value: 0
Issue Date: 7/5/2017
Expiration Date: 1/1/2018
PROPERTY ADDRESS:
Address: 340 OCEAN BV
RE Number: 170177 0010
PROPERTY OWNER:
Name: FOSTER GARY WAYNE
Address: 110 LEMON ST
NEPTUNE BEACH, FL 32266
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Wired Right Electric, Inc.
Address: 8787 Southside BLVD#4510
JACKSONVILLE, FL 32256
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
XL
Ph(904)247-5826 Fax(904)247-5845 T6MI' I—ODOS
JOB ADDRESS: . 3 //Q (�(,L 161 Ud. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
100A ZNo>/ S T
VALUE OF WORK$
NEW SERVICE Overhead ❑ Underground ❑!Underground up Pole
❑ esidenti (Main) Service
100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
omenereial(Main)Service
110-100 amps 0101-150amps E1151-200amps ❑ amps ❑CTService amps
Conductor Type Size
❑Multi-Family(Main)Service
` Tl0-100 amps ❑101-150amps 1115 1-200amps ❑ amps #of Unit Meters
emporary Pole ❑_2.0 -mpg
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps ❑ amps DCT 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)
Qty volta/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other.
?coni[becomes void ifwork does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
ead this application and know the same to be true and correct All provisions of laws end ordinances governing this work will be complied with whether
:pecilied or not The permit does not give authority to violate the provisions of my other state or local law regulation construction or the perfonasnce of
:onstruction.
'roperty Owners Name C'Lrd AAd Tlne fot,Frr Phone Number
electrical Company Ired kf:� Office Phone( /_9/Of Fax
,o.Address: 17V 51(/A Z-,-ck 14. MID City SoJC State& Zip 377St
,icense Holder(Print): C 2 State Certification/Registration# rg-L3 /
✓oiarized Signature ojLicense Holder
aH + JENNIFERJdIMSTCN Befo a this S day of J^hl-Ly 20�_
.....V; MY COMMISSIQVMnnanP9a 6/
EJtPIaE$:Ocmbrll,auo
`" or.„s^i' BonGGnwaolvy Punk UneamlMn Signature of Notary Public��