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264 Ocean Blvd temp pole permit r s f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ERES18-0078 Description: Underground Temp Pole 60amps Estimated Value: 0 Issue Date: 3/9/2018 Expiration Date: 9/5/2018 PROPERTY ADDRESS: Address: 264 OCEAN BLVD RE Number: 170199 0040 PROPERTY OWNER: Name: KANE GERARD Address: 729 EDGEWOOD AVE NE UNIT G ATLANTA, GA 30307 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: MARCO ELECTRICAL CONTRACTORS Address: 720 MILL CREEK RD QA BENJAMIN EDWARD SMITH JACKSONVILLE, FL 32211 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$7,500. ELECTRICAL PERMIT APPLICATION Wit CITY OF ATLANTIC BEACH S `� u 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 241-5 6 Fax (904) 241-5845 JOB ADDRESS: J PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE= ad Underground 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 )k1 '0-100 amps 101-150amps 151-200amps amps # of Unit Meters emporary Pole ,_amps SERVICE UPGRADE amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) L-100 amps _150amps 200amps amps CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 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 KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS I-Replace Burnt/Damaged Meter Can Safety Inspection Panel Change 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. \ 1 Property Owners Name J D I43, L'_'_ Phone Number Electrical Company IC'C� Office Phone CH�33��F'ax qui(MLi`fa Co. Address: ` City StateA Zip 0:5�' l/ License Holder(Print): State Certif ion/Registration# r-�i/3 Oaa 15 Notarized Signature of License Holder BONNELL W.CRAIG Sworn argsubscribed before m this day of Y 20 `6 MY COMMISSION 4 FF167433 GXpIRES:December 11,2018 Signature of Notary Public SOF R