740 Paradise Ln temp pole permit .' 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: TEMP17-0013
Description: 60 amps/240 volts/single-phase-temporary pole
Estimated Value: 200
Issue Date: 8/14/2017
Expiration Date: 2/10/2018
PROPERTY ADDRESS:
Address: 740 PARADISE LN
RE Number: 172376 0245
PROPERTY OWNER:
Name: SPRINGFIELD BUILDERS LLC
Address: 13846 ATLANTIC BLVD#204
JACKSONVILLE, FL 32225
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MARCO ELECTRICAL CONTRACTORS
Address: 720 MILL CREEK RD OA BENJAMIN EDWARD SMITH
JACKSONVILLE, FL 32211
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$7,500.
_ ELECTRICAL PERMIT APPLICATION -Tb AA P 11_D o 13
y • CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
y� ,J Ph(904 247-5826 Fax(904)247-5845 _(� -00-0)
JOB ADDRESS: lqD V�M`-'1 S'e- ,(�-P (-T-Po i PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS �AMP VOLTS �_PHASE
VALUE OF WORK$_
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
❑0-100 amps 0101-150amps ❑151-200amps C amps #of Meters
❑Commercial(Main)Service
00-100 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_
emporary Pole ❑ (zo amps
SERVICE UPGRADE- ❑ amps I CT Service_amps
NEW FEEDER(ADDfPIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps Damps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BULD-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_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change I1 OH to UG
❑Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned fm six months. I hereby certify that I haw
read this application and know the some 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 load law regulation construction or the performance of
construction. (�
Property Owners Nam �i(ly\C Tim �. K'` Phone Number ber
Electrical Compan�y �C�tC J Office Phone`3 ��'350 /Fax
Co.Address: /C ."O C�mj11 �w t�-r` City �4L k1T`y h(' Stated Zip 3 a'a l l
License Holder(Print): 1A1t i� 'S M t�" on/Registration#�C13'')O'da1S
Notarized Signature of License Holder
ELECTRICAL PERMIT APPLICATION
' CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 (�
t Ph(904)247-5826 Fax(904)247-5845
JoB ADDRESS: 940 %q ks:k � Clno 1 Po 1 P'nERMIT#
Swom and subscribed before m�t^his I L4 /� dayof
\\I't4 45'4 20 17
Signature of Notary Public m I l . o o W Q - r
s1 BONNEL6w.CRAIG
�J MY COMMISSION/F1,MISJ
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