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350 OCEAN BLVD - TEMP POLE r, r� J1 ). r CITY OF ATLANTIC BEACH �it1 ''N ' s' 800 SEMINOLE ROAD Ky� ATLANTIC BEACH, FL 32233 %0lii>r INSPECTION PHONE LINE 247-5814 ELECTRICAL TEMP POLE - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: TEMP18-0014 Description: TEMP POLE 100AMP, 120/240 VOLTS, 0 PHASE Estimated Value: 250 Issue Date: 3/29/2018 Expiration Date: 9/25/2018 PROPERTY ADDRESS: Address: 350 OCEAN BLVD RE Number: 170177 0000 PROPERTY OWNER: Name: CELLAR WILLIAM J Address: 4901 BELFORT RD STE 140 JACKSONVILLE, FL 32256 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: MUNSON & BRYAN ELECTRICAL CO. Address: 3434 ST AUGUSTINE RD 3434 ST.AUGUSTINE RD JACKSONVILLE, FL 32207 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$7,500. ELECTRICAL PERMIT APPLICATION P O I `� • CITY OF ATLANTIC BEACH - 7 �o ! -7 800 Seminole Rd, Atlantic Beach,FL 32233 im./_ --__+�,- Ph(904) 247-5826 Fax(904) 247-5845 alai i OP , • JOB ADDRESS: 3 5 O O ce.s (\ 6 i-V 1 . PERMIT# Res 1 I -039A JEA INFORMATION REQUIRED ON ALL PERMITS I 00_. AMPS ` 90 cVOLTS =__ 0 PHASE VALUE OFWORK$ a5o'46. . NEW SERVICE n Overhead ❑ Underground [ J-Underground up Pole !! f esidential (Main)Service 00-100 amps ❑101-150amps _14451-200amps 0 amps #of Meters 0 Commercial(Main) Service • 00-100 amps ❑101-150amps 12151-200amps ❑ , amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service 0,0,100 amps ❑101-150amps ❑151-200amps 0 amps #of Unit Meters i 1 'f emporary Pole 0 100 amps SERVICE UPGRADE 0 amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps 0 amps OCT 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 0 Sign ❑Smoke Detectors__Qty ❑Transformers' KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can 0 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. Property Owners Name Ce..LA,6,-c' W u lik, ct-rr~ cc Phone Number9 }J (I-' `1 S- Electrical Company Art o til So t1 -1- g c-Y&NI e t epi-C- Office Phone 39,C, 6,4 g9 Fax 361.6, 1 l 36 � Co.Address: 34111 3 i. Poi-C U,S+-t 614,- d( City �dk•At-s o N Vie 4(2 State Eta Zip 3 22©7 License Holder(Print): a Kr% SCta 1 State Certification/Registration# Notarized Signature of License Holder ...., ' JOSEPH GUY CAUCHON Sworn and subscribed before me this o�& day of M o cc t, 201-8 i ' �',m`' Commlaslon#FF 244825. � At Expires July 16,2019 Signature of Notary Public `,,. "kt Rc 4t: sanded TM Trop Fain UntJ6T6a 8404687018