347 10th St temporary pole permit � v
CITY OF ATLANTIC BEACH
" > 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: TEMP18-0004
Description: 60 AMPS 120/240 VOLTS 1 PHASE
Estimated Value: 200
Issue Date: 1/29/2018
Expiration Date: 7/30/2018
PROPERTY ADDRESS:
Address: 347 10TH ST
RE Number: 170079 0200
PROPERTY OWNER:
Name: LAMAR DAVID CHARLES
Address: 345 10TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: UNITED ELECTRIC COMPANY OF
Address: 5716 ST AUGUSTINE RD JACKSONVILLE15716 ST.
AUGUSTINE ROAD
JACKSONVILLE, FL 32207
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: L� I �l J� PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS [/�y AMPS ��OLTS PHASE
VALUE OF WORK$ ;;02
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps 1110 1-I 50amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
❑0-100 amps 11101-1 50amps ❑151-200amps []—amps OCT Service amps
Conductor Type__
Size
❑Multi-Family(Main)Service
p0-100 amps El 101-1 50amps 11151-200amps 11 amps #of Unit Meters
r ¢emporary Pole ❑ W amps Q}•(
SERVICE UPGRADE ❑ amps ❑ CT Service 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: 0-3 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 El Smoke Detectors_Qty El 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 provisions of any other state or local law regulation construction or the performance of
construction. (� ` ,, 1 il
Property Owners Name JJ�}V1D 1�/�h1J.t I �R11%1=p 1 Am& Phone N—umber
Electrical Company UJ�I)�L`� �L1%L . or � _Office Phone / J�'� A P .Fax !3j'5N)
Co.Address: EjI Le _if/f d6,V3— A)b" J _ City '--p --4 State l'—Z— Zip 3`3
License Holder(Print): R =LA,4State Certification/Registration#l.Ll'.V 53&7
Notarized Signature of License Holder
'••qY 1�,••. GRACE MACKEY Sworn and subscrlb d before me this �` day of 20 .
MY COMMISSION#GG 042989 �G(',rjpnp,(�y
EXPIRES:October 27,2020 Signature of�otary Public
Bonded Thru Notary Public Underwriters n