950 Main St temporary pole permit ;% CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r 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: TEMP17-0030
Description: 60 amps/240 volts/single-phase temporary pole
Estimated Value: 0
Issue Date: 10/25/2017
Expiration Date: 4/23/2018
PROPERTY ADDRESS:
Address: 950 MAIN ST
RE Number: 170961 0000
PROPERTY OWNER:
Name: AB Main Street Trust
Address: 8728 1 st Avenue
Jacksonville, FL 32209
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BUILDING UNLIMITED ROOFING & SOLAR
Address: 12620-3 BEACH BLVD # 181 JACKSONVILLE, FL 32246
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904) 247-5845 TDo3b
JOB ADDRESS: PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 7�-VOLTS r PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential (Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 11101-1 50amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
[]Multi-Family(Main) Service
❑0-100 amps ❑ 0 450amps El151-200amps []_____amps #of Unit Meters
X
Temporary Pole ❑amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 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 K V A ❑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 provisions of any other state or local law regulation construction or the performance of
construction. t
Property Owners Name / ���/ � Phone Number
Electrical Company /l�e Office Phone (tel ax
Co.Address: LG/ City State Zip 7L =
License Holder(Print): S Certification/Registration#
Notarized Si nye of License Holder l%
JENNIFER JOHNSTON
MY COMMISSION#GG 042984
Before me this a _day of 20���
;a
EXPIRES:October 27,2020
...........,�:= Bonded Thru Notary Public Underwriters Signature of Notary Public