761 Paradise Ln - Temp Pole rS'.%yyr
p CITY OF ATLANTIC BEACH
i 800 SEMINOLE ROAD
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: TEMP18-0005
Description: 60 amps, 120/240 volts, 1 phase
Estimated Value: 0
Issue Date: 1/30/2018
Expiration Date: 7/29/2018
PROPERTY ADDRESS:
Address: 761 PARADISE LN
RE Number: 172376 0185
PROPERTY OWNER:
Name: SPRINGFIELD BUILDERS LLC
Address: 1881 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MARCO ELECTRICAL CONTRACTORS
Address: 720 MILL CREEK RD OA BENJAMIN EDWARD SMITH
JACKSONVILLE, FL 32211
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 (104)247-5 26 Fax (904)247-5845
JOB ADDRESS: �W / PuYQISS tv PERMIT# TEMAP6gQ
IEA INFORMATION REQUIRED ON ALL PERMITS AMPS 422 5 JVOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead dKnderground ❑1 Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps 151--200amps .___amps 4 o Meters_
Comercial(Maio)Service
0 amps 101-150amps 151-00antps _amps CT Service_amps
Conductor Type Size
Multi-Family(Main)Service
_ 101-150amps 151?o0amps amps #of Unit Meters
�Tempora a _amps
SERVICE UPGRADE amps CTService_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 10i 200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits n. kw
Number of Lighting Outlets. Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors__Qty Transformers _KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VAL UE OF WORK S
REPAIRS/MISCELLANEOUS
.Replace Bumt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other
Ilennit biomes void if work does not commence within a six month period or work Is suspended or abandoned fur six months. 1 heady uMdy that I have
read this application and know the same to be Imo and cormel. All provisions of Inn a and ordinances pmnming this work will he complied with whether
specitid or nol 'IIIc p mmit docs not give aulhoriqto violate the pro,kivax orae mher.staw or Itlwl law mgnlminn construction or the perl'ornwnce of
construction.
I roperty Owners Na S
Phone Number
I?Iectrical Company 0 f C� Officee Phone W Fax�9�'- J&J-1
Co. Address: r-0 r ' lr�� �Y..p-Q k City ZQ_cb�� I�t stater!'Lip111/
License Holder(Print): _ /State Cert fi- ion/Registration# 13 0
NotariZed Signature ojLicense Holder L
Sworn subscribed before this day of —qtr 22 FA ��
BOIJNELL DCIG Signature of Notary Public r i1 Jia OXY I
a�lAt bJMV COME.I3S,0EXPIRES:Oxa