1927 BEACH AVE - TEMP POLE CITY OF ATLANTIC BEACH
) 800 SEMINOLE ROAD
v 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: TEMP18-0006
Description: TEMP POLE
Estimated Value: 0
Issue Date: 2/26/2018
Expiration Date: 8/25/2018
PROPERTY ADDRESS:
Address: 1927 BEACH AVE
RE Number: 169691 0000
PROPERTY OWNER:
Name: TOVEY KIRK A
Address: 320 N 1ST ST STE 715
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
JACKSONVILLE BEACH, FL 32250
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 1 Em p l O - 00000
Ph(904) 247-5826 Fax (904)247-5845 P i - col 0
JOB ADDRESS: 17 a Q 21 u t4c In /).W-: PERMIT# kg
JEA INFORMATION REQUIRED ON ALL PERMITS i.t r, AMPS 9.'I(' VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
[temporary Pole ❑ I/O amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amps 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 KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps_ VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Rep lace Burnt/Damaged Meter Can ❑Safety Inspection ❑Pane l Change II 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.
Property Owners Name IG;tty Phone Number
Electrical Company Kivit r Ell..--ILP L EL L Office Phone Fax
Co.Address: ibg it ACC So,A4/ City fia¢ lk.k State rt Zip 3?Z CG
License Holder(Print): J k'C VitAciAT State Certification/Registration# EP 3612 s.2 3
Notarized Signature of License Holder G'ior
op , C.--.)r
, r , TONT GINDLESPERGER Before me this�(day .f 41,4120 t •
i„,, ,a, MY COMMISSION 4 FF 924951 __
Via= EXPIRES:October 6,2019 Signature of Notary Public fa
vii;i Bonded Thru Notary Public Underwnters l ,
•