1678 ATLANTIC BEACH DR TEMP POLE r�llf j•
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
o,t 9" INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP18-0009
Description: TEMP POLE
Estimated Value: 0
Issue Date: 3/27/2018
Expiration Date: 9/23/2018
PROPERTY ADDRESS:
Address: 1678 ATLANTIC BEACH DR
RE Number: 169505 1720
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS LLC
Address: 414 OLD HARTS RD STE 502
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
Ph(99/04)247-5826 Fax(904)247-5845 ��-rn �7 vU o Qq
JOB ADDRESS: Ib -716, PERiVIIT# s l° -W 3q
JEA INFORMATION REQIiIRE,D ON ALL PERMITS 3U AMPS �Z- -(tl VOLTS PHASE
VALUE OF WORK 5 yr
NEW SERVICE ❑ Overhead '
❑ Underground ❑T Underground up Pole
Residential (Main)Service
0-100 amps =101-150amps 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 _:101-150anups 151-200amps C. 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/Switches: 0-30anip s 31-I00amps 101-200amps
Appliances: 0-30amps 31-10Oamps 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 lip
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection -Panel Change -ON to UG
.Other: �1d
Peron:becomes void it work does not commence w ithin a six month period or work is suspended or abandoned for six months. I hereby certify that 1 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 tiny other state or local law regulation construction or the performance of
construction.
Property Owners Name( �"� �'t'� Phone Number
Electrical Company /V Lt °�-��Ot" Office Phone Fax
Co.Address: 3z�t �" /�-r�%� City cJ,-4 State a""L_ Zip 322
License Holder(Print): State Cert' cation/Registration# Lf
Notarized Signature of License Holder '
Sworn and subs Abed before me this A day of M 201Y
t J,,% r
Signature of Notary Public -