357 11TH ST - TEMP POLE 'S i•
' CITY OF ATLANTIC BEACH
J
` 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'��J,31J'� INSPECTION PHONE LINE-270-5814
ELECTRICAL EMP POLE -
MUST CALL BY 4PM FOR NEXT i AY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP17-0031
Description: 40 amps/240 volts/si gle-phase-temporary pole
Estimated Value: 0
Issue Date: 10/30/2017
Expiration Date: 4/28/2018
PROPERTY ADDRESS:
Address: 357 11th St.
RE Number:
PROPERTY OWNER:
Name: CHRISTOPHER LA BERTSON
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CHRISTOPHER H'IMES INC
Address: 355 11TH ST
ATLANTIC BEACH FL 32233
Phone:
PERMIT INFORMATION:
Please see attached conditions of approv-I.
WARNING TO OWNER: YOUR FAI ' TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT I YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPE ' TY. A NOTICE OF
COMMENCEMENT MUST BE RECOI' I ED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECT ON. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YO I' LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTI I E OF COMMENCEMENT.
* A notice of Commencement is only required 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$7,500.
i
I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826; Fax (904)247-5845 mit/toil -003(
JOB ADDRESS: /I P' 5T7cC ! PERMIT# f3`$ 17-601
JEA INFORMATION REQUIRED ON ALL PERMITS Tv AMPS )4 0 VOLTS 1 PHASE
VALUE /F WORK S
NEW SERVICE I I Overhead ri Undergr+und nl Underground up Pole
UResidential(Main) Service
Ci0-100 amps :21101-150amps L1151-200a ps i:;, amps # of Meters
L iCommercial(Main) Service
r1
: 0-100 amps E 101-150amps :151-200a ops amps :Ii CT Service amps
Conductor Type Size
LIMulti-Family(Main) Service
[10-100 amps i l01-150amps (-:1151-200 1 ps LI amps #of Unit Meters
'emporaty Pole u d amps
SERVICE UPGRADE i_i amps [,i 1 T Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTU' CS,ETC.)
;.:.1100 amps %I150amps 1200amps El amps [.ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,AC( ESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-101 amps 101-200amps
Appliances: 0-30amps 31-101 amps 101-200amps
A/C Circuits: 0-60amps 61-101amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
i i Swimming Pool Li Sign [.Smoke Detectors Qty LI Transformers KVA UMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK
REPAIRS/MISCELLANEOUS
IReplace Burnt/Damaged Meter Can riiSafety Inspection [!Panel Change 1_lOH to UG
;`Other:
Permit becomes void if work does not commence within a six month period o: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.
Property Owners Name Cff 7S L4/111W(5G1.4) Phone Number
Electrical Company 4'iivt�),f tLe6_.f 1� C--C.,.c-' Office Phone � `</ Fax
Co. Address: �4�3 -_/I f`) . CC__-.5,_.__ City ThL State 13 Zip 7223tt
License Holder(Print): {N VQ i& ("it State Certification/RegistrationT (if 30 tc 23
Notarized Signature of License Holder ____y--__ (�
Tte�ll LA-' 4-
tioT ratAtIC Cwnrn and .cilhccrihed before the this dayofZO�
STATE OF FLORIDA
comet FF� q�Signature of Notary Public ---------
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