1614 Maritime Oak Dr temporary pole permit j!=�jy j
� 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: TEMP18-0007
Description: TEMP POLE
Estimated Value: 0
Issue Date: 3/15/2018
Expiration Date: 9/11/2018
PROPERTY ADDRESS:
Address: 1614 MARITIME OAK DR
RE Number: 169505 1960
PROPERTY OWNER:
Name: BARBIERI ROBERT FRANCIS
Address: 2659 BAMBY LN NE
ATLANTA, GA 30319
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MCDONALD ELECTRIC
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER
JACKSONVILLE, FL 32254
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
.JOB ADDRESS: y PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2'10 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential(Main) Service
0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
Commercial(Main)Service
.0-100 amps 101-150amps 0.151-200amps ❑ amps OCT Service amps
Conductor Type Size
[-)Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps —150amps 11200amps ❑ 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
El Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can El Safety Inspection ❑Panel Change DOH to UG
i_.IOther:
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 5/4 De-v Phone Number
Electrical Company 1;4 t, XV del Office Phone Fax
Co.Address: 3Z( l Cr u ' S-;' City jVY State h Zip �r7Z
License Holder(Print): �✓ C.,�,. State r if tion/Registration# �2CX�(J f 79
Notarized Signature of License Holder
CHP,IS M. THOMA7FIorida Sworn and scribe befor me this 1 day of A,,cG, 201'
Notary Public-State ofComrniss on # FF 94Signature of Notary Public `
P� My Comm. EAPires DNc 15,2019
'° Booded through National No!ary Asn.