710 SAILFISH DR - TEMP POLE -4 J '' '-''t ssCITY OF ATLANTIC BEACH
, �
5 ,i' Ltd j 800 SEMINOLE ROAD
_,.r. r ATLANTIC BEACH,FL 32233
-1:' X319%' INSPECTION PHONE LINE 247-5814
ELECTRICAL EMP POLE -
MUST CALL BY 4PM FOR NEXT 0 AY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP17-0023
Description: TEMP POLE
Estimated Value: 0
Issue Date: 10/6/2017
Expiration Date: 4/4/2018
I
PROPERTY ADDRESS:
Address: 710 SAILFISH DR
RE Number: 171209 0000
PROPERTY OWNER:
Name: FLORIDA SUNRISE PROPERTIES LLC
Address: P 0 BOX 1372
PONTE VEDRA BE''CH, FL 32004-1372
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FRANKLIN ELECTRIC SERVICE
Address: 4 TALLWOOD RD A JARRETT ADAM FRANKLIN
JACKSONVILLE B ACH, FL 32250
Phone:
PERMIT INFORMATION:
Please see attached conditions of approv'I.
WARNING TO OWNER: YOUR FAI URE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT I YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPETY. A NOTICE OF
COMMENCEMENT MUST BE REC RDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECT lON. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YO LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTI 1,E OF COMMENCEMENT.
* A notice of Commencement is only required 1 or work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commen ement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERNIIT APPLICATION
CITY OF ATL(ANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 - -
Ph(904) 247-5826 Fax (904) 247-5845M p 1 7 -DO
JOB ADDRESS: 710 56►%L,Pi S l4 D R V C PERMIT#
INFOO''4 . •TION RE 0 ICIIR+ED CO ALL P 'RM ETS 'TO • U'S d 2.0M ?VO: PIIASI
VALUE OF WORK$ 200.°'
NEW SERVICE ❑ Overhead n Undergro Ind nT Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200a ps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200a ps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps ❑101-150amps ❑151-200a ps ❑ amps #of Unit Meters
V_Tmmporary Pole ❑ 10 0 amps
SERVICE UPGRADE ❑ amps ❑ ST Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURE ,ETC.)
❑100 amps ❑150amps ❑200amps ❑ mps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,AC ESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-10 amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100lamps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty II 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 ❑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 provisio of any other st to or local law regulation construction or the performance of
construction. F 1p t-' QL SO rt r t S r 1 P e-"--Ce--3
Property Owners Name. W k4,4-5-Cd-- '-.^-..4.4. Phone Number 7/ 163 V
Electrical Company �f1A.0 14-U0 elet 7UQ 5E'ywi(L Office Phone 62,- k,25-Fax
Co.Address: P. 0 . 9 0 k- 5i 2 3 7(' City i 4& 0G State (f t. Zip 32 2 Lf 9
License Holder (Print): 31N ll A SAiJI N State Certification/Registration# Of I70/reit
/
Notarized Signature of Licenseflolder
'ra°V'P%"%Y TONI GIOLESPER' ER y
j '� Before me this /' day o I '0 1
a,mak:' •e„-. MY COMMISSION 4a FF 924951 �{
V.:4, - EXPIRES:October 6,2019 W
ia,..^,::csk Bonded ThruNotary Public Urderwnters a Signature of Notary Public '\