556 TIMBER BRIDGE LN TEMP POLE rj y�\llv .
S 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: TEMP18-0008
Description: TEMP POLE
Estimated Value: 0
Issue Date: 3/27/2018
Expiration Date: 9/23/2018
PROPERTY ADDRESS:
Address: 556 TIMBER BRIDGE LN
RE Number: 169505 1135
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS LLC
Address: 414 OLD HARD RD
FLEMING ISLAND, FL 32003
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 o I _ (J 0 c2
Ph(904)247-5826 Fax (904) 247-5845 U
JOB ADDRF,SS: S-Sqy j rf M&I ttjfr a, f..-/ PERMIT 9 )6S/_7- O 3'z 7
JEA INFORMAI-ION REQUIRED ON ALL PERRMITS 3t) AMPS -?--4()VOLTS r PHASE
VALUE OF WORK S fry
NEW SERVICE ❑ Overhead ❑ Underground ❑l Underground up Pole
-Residential (Main)Service
0-100 amps I OI-150amps __151-200amps amps #of Meters
:-Commercial(Main)Service
-0-100 amps 101-150amps -151-200amps -_amps -CT 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 200amps = amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/S-,vitclies: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-I00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits a kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
_:Swimming Pool __ SiQn __Smol:e Detectors_Qty _Transformers KVA I Motors lip
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps _ VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Datnaged Meter Can Safety Inspection =Panel Change =OH to UG
::Other:
Permit becomes void of work does not commence within a s»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%pith whether
specified or not. The permit does not give authority to violate the prox isions of any other state or local la%v regulation construction or the performance o!'
construction.
Property Owners Name i5" S,0 M4--_ ' Phone Number
Electrical Company IV 443 11 0j Pf Office Phone Fax
Co.Address: het C-1 lgt«✓-� City c1+R`F State t— Zip �7Z 1`/
License Holder(Print): 6✓ tate Certification/Reeistration#
Notarized Signature of License Holder t�zf /�.
Sworn and subscribed before me this ?� day of M ti w 0 I,I
y �r ;r Apr R F::�ite t ia2z'19;'Signatutre of Notary Public
b„u &uidEd(ti(OJ111?;n(i3ndt h:C:2(y 455n.l/