1777 Maritime Oak Dr temp pole permit jos CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 413M FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP17-0016
Description: TEMP POLE
Estimated Value: 0
Issue Date: 8/25/2017
Expiration Date: 2/21/2018
PROPERTY ADDRESS:
Address: - 1777 MARITIME OAK OR
RE Number. 169505 1820
PROPERTY OWNER:
Name: MURRAY DEREK BRAXTON
Address: 2019 EASTERN OR
JACKSONVILLE BEACH, FL 32250-3762
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE OA MARK STEVEN KNIGHT
JACKSONVILLE BEACH, FL 32250
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$7,500.
CITY OFA _L..._. ._____.-..__,,..
ANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233mQ'
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: I?? � fi/i/l�i nxG_ Pl✓t- PERMIT# 17 '001?Y
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS X0 VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential(Maio)Service
0-100 amps 101-150amps 151-200amps _amps #of Meters
Commercial(Main)Service
0-100 amps 101-150amps 151-200amps _amps CT Service_amps
Conductor Type Siu _
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps _amps #of Unit Meters
✓Temporary Pole YO amps
SERVICE UPGRADE _amps Ci Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 1200amps Camps I CT Semi"_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps _101-200amps
Appliances: 0-30amps 31-I00amps _101-200amps
A/C Circuits: 0-60amps 61-I00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: .,
OTHER ELECTRICAL PROJECTS
LSwimming Pool Sign Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_voltstamps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Bumt/Damaged Meter Can Safety Inspection Panel Change -:OH to UG
Other:
Permit becomes void if.,it does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that I have
read this application and know the samc 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 (�yn-� Phone Number
Electrical Company EE670 (.(-G- Office Phone 9)0-"f'V Faxl]-�bT
Co.Address: IL AIL �;A City -tAl State Zip 32256
License Holder(Print): T V C- F State Certification/Registration# _ERI 3a12S,�
Notarized Signature of License Holder T '' ll
�'sloQ spause t Sworn and subscribed before me this 20J
NOTARY PUBLIC
aTtE OF fI°Acommit Signature of Notary Public
Expires i1/12r2017
Cash Register Receipt Receipt Number
U of 80
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $94.00
TEMP17-0016 Address: 1777 MARITIME OAK DR APN: 1695051820 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 1 0 $55.00
STATE SURCHARGES $4,00
STATE DBPR SURCHARGE 455-OODO-208-0600 1 0 $2.00
STATE DCA SURCHARGE 45500002060]00 0 $2.Op
TOTAL / tl $94.00
CITY OF ATLANRC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,R 32233
0425!2017 15:09:25
CREDIT CARD
VISA SALE
Cad A XXXXXXXXXXXX5045
SEQ A 8
W#: 434
INVOICE 8
APPRrd Code: 040931
Ety Medw: Maui
Made: CnIm
Tax Anuud: $0.00
Cad Code: M
SALEarmuM
CUSTOMER CO"
Date Paid: Friday,August 25,2017
Paid By: KNIGHT ELECTRIC LLC
Cashier: BA
Pay Method: CREDIT CARD 8
Printed:Friday,August 25,2017 3:10 PM 1 of 1