1769 Atlantic Beach Dr temporary pole permit sJ CITY OF ATLANTIC BEACH
r� 800 SEMINOLE ROAD
yr
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: TEMP18-0016
Description: 40 amps/240 volts/single-phase -temporary pole
Estimated Value: 200
Issue Date: 4/4/2018
Expiration Date: 10/1/2018
PROPERTY ADDRESS:
Address: 1769 ATLANTIC BEACH DR
RE Number: 169505 1475
PROPERTY OWNER:
Name: ADCOCK BRIAN J
Address: 14560 ISLAND DR
JACKSONVILLE, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
JACKSONVILLE BEACH, FL 32250
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS:/ (}T(AWT(L ifCac c jilt PERMIT# Rc I -DG pg
JEA INFORMATION REQUIRED ON ALL PERMITS `ID AMPS X VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 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
emporary Pole ❑amps
SERVICE UPGRADE ❑ amps Lj 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: 0-30amps 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 LJ Smoke Detectors_Qty Ll Transformers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Ll Replace Burnt/Damaged Meter Can ,7 Safety Inspection 1Panel 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 /�' 51 Phone Number
Electrical Company_ 11 N1 (- LLC Office Phone 9 7—49V Fax V74FU
Co. Address: q0 / -- 5�,[K City_IN, a(, State Zip q2257P
License Holder(Print): ?fL 6tor State Certification/Registration# 13012f 23
Notart S o
••�••.,, JENNIFER JOHN
MY COMMISSION#GG 042984
EXPIRES:October 27,2020 S rn and subscribed before me this day of 41i 20—Lf
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Notary Public Underwriters
-f�%1 ature of Notary Public