1645 MARITIME OAK DR TEMP POLE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�r
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: TEMP18-0011
Description: TEMP POLE
Estimated Value: 0
Issue Date: 3/27/2018
Expiration Date: 9/23/2018
PROPERTY ADDRESS:
Address: 1645 MARITIME OAK DR
RE Number: 169505 1995
PROPERTY OWNER:
Name: CDL AB LLC
Address: 355 11TH ST
ATLANTIC BEACH, FL 32233-5531
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 - I p
Ph(904)247-5826 Fax (904) 247-5845 1 G^P 18 -00 ( t
JOBADDRE.SS: 1(ptn- ln&.'e;4 ogle- 0.'- PERMIT# 4S/00 -W^406
.IEA INFORINIATION REQUIRED ON :ALL PERTMITS 30 AINIPS 2'10 VOLTS ! PHASE
VALUE OF WORK S r�
NEW SERVICE ❑ Overhead 13-1unde ground D 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 =101-150amps 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/Switclies: 0-30amps 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 TCVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRSIMISCELLANEOUS
Replace Burnt/Damaged Meter Can -Safety Inspection —Panel Change =0H to UG
Other:
Permit becomes Void if work does not commence within a six month period or work is suspended or abandoned ror six months. I hereby certM,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 Rt t✓�St�' � ^` ( Phone Number
Electrical Company �y"`"' Office Phone Fax
Co.Address: 72-It W• 15t City State r Zip 372V
License Holder(Print): State Cerertific ion/Registration# Crw�r7''y
Notarized Signature of License Holder /9•
Sworn and subscribed before me this 33S day of AA�,c 20 la'
,("1,J". �_,...,_5..., . Fs- Signanue of Notary Public
hid comm.c ,.