1883 Atlantic Beach Dr temp pole permit \�s fS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
;3 9' INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP17-0025
Description: 30 amps/240 volts/single-phase temporary pole
Estimated Value: 100
Issue Date: 10/12/2017
Expiration Date: 4/10/2018
PROPERTY ADDRESS:
Address: 1883 ATLANTIC BEACH DR
RE Number:
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF N FL
Address: 414 OLD HARD RD STE 502MATTHEW ROBERTS
ORANGE PARK, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: RIVERSIDE HOMES OF N FL
Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS
ORANGE PARK, FL 32003
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 PERJUT APPLICATIOI
CI n Y OF 1 T ,A1�1TTC BAC
800 Seminole Rd, Atlantic Beach_FL 322"
Ph(904)-224-7-5826 Fax (904)2417-584 �M p -coal
JOB ATA�RESSa 1�.�� -o1
a A I!"ORMATIONT REQUIRED®lei ALL PERJ� EQ T S
� AWS ZqU -VOLTS
VALUi~OF 010' S /001 t1U
°+17V SERVICE ❑ Overhead
luoerg
Residential Main)Service � s ozno []1 T7>�des ground asp Pole
_:0-100 amps -101-150amps L-K51-200am s
_Commercial 1�aiss)Service p - APs #of Meters
-0-100 amps _101-150amps X151-200am s
Conductor Type Size p cps -CT Service amps
Multi-Family(Ii/l --•u)Service
0-100 amps 7-101-150amps 151-200amps - amps # of Unit Meters
Tenaporar-y Pole ` amps
S'R"VIC a' UPGRADE
APs = CT Service amps
,�v!FEEDER(ADDITIONS,ACCESSORY ST'RUCTUJILES,ETC.)
//����yy��yy IONS, _t-17�5L0am*ps -200amps _ amps =CT Service amps
L" DI r11�1'1V S,Y`cL1VY0,T ELS,.RL EiPATC'g'J^V p -OU1 lJ,t��11.r�SO®fie L• U H 3sLLJ vim,Y aJ�F.7L'Og ETC.
C.
Outlets/Switches: 0-30amps 31-100am s_
Appliances: 0-30am s p 101-200amps
A/C Circuits: 0-60amps '1-100amps 101-200amps
P 61-100amps
Heat Circuits: # circuits
Number of Lighting Outlets, Including Fixtures:
11 ER ELECT: fiCAiL PROJECTS
-Swimming Pool r Sign =Smoke Detectors
____Qty Transformers ICVA =Motors hp
,r,;•�-�L RIVE u5SYS T E'r� (3e wises S sets 3f p3aus)
Qty volts/amps VALUE OF WORIT S
P a IRSM/1-ISCELLANEOUS
'Replace Burnt/Damaged Meter Can _Safety Inspection -_:,Panel Change =0H to UG
Other:
zrmit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.`1 hereby certify that I have -
ad this application and know the same to be true and correct. All provisions of laws and ordinances-overnin.a this work will be complied with whether
recified or not The permit does not give authority to violate the provisions of any other state or local lav regulation construction or the performance of
>nstruction.
roper ,Owners Name ��✓�S� 4 wiS
Phone Number
lectrical Company /W yid N G"�W
Orfice Phone �n'1'/7 3 Fay -V�, ^/*13 V
o.Address: Z / &v, &a t z - 84- Cid; State 1�1 Zip 32 Zs'Z/
icease]r€olciet (Priest); A C ..— State Certification/Registration
otarized Signature of License Hoidef
S orn an subscribed before me this f 1{= day of Oc•� 2011
Notary Public -State or Florida
commission # FF 943955 Sr
ature of Notary Public
y'Fov�°P My Comm. Expires Dec 15,2019
�''' �"` Bonded through National Notary Assn.