1249 Beach Ave temp pole permit f.-Llrye
?„ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
rJ 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: TEMP18-0022
Description: 60 AMPS 240 VOLTS 1PHASE TEMP POLE
Estimated Value: 200
Issue Date: 5/9/2018
Expiration Date: 11/5/2018
PROPERTY ADDRESS:
Address: 1249 BEACH AVE
RE Number: 170292 0000
PROPER
Name: R:
BOENEKE DEMORY
Name:
Address: 7093 OX BOW RD
TALLAHASSEE, FL 32312
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: UNITED ELECTRIC COMPANY OF
Address: 5716 ST AUGUSTINE RD JACKSONVILLE15716 ST.
AUGUSTINE ROAD
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$7,500.
ELECTRICAL PERMIT APPLICATION
CrrY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Q Ph(904)247-5826 Fax (904)247-5845.. ES- 18- 133
JOB ADDRESS: I a W g e.a C� A v e- 11 T P o I- PERMIT# TEr•1P IFS-60
JEA INFORMATION REQUIRED ON ALL PERMITS V AMPS er N*VOLTS "I PHASE
.VALUE OF WORK$—? 0 0. s 17
NEW SERVICE ❑ Overhead ❑ Underground E3 Underground up Pole
OResidendal(Main)Service #of Maters
00-100 amps 0101-150amps 0151-200amps ❑ amps
OCommercial(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps ❑CTService_amps
Conductor Type Size
❑Multi-Family(Main)Service #of Unit Meters
00 amps .. ❑101-150amps ❑151-200amps ❑ amps
emporery Pole ❑ amps —
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,.ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amp§ 0200amps ❑ amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0.30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-1008mps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits Q kw
Number of Lighting Outlets, including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign OSmoke Dotmtors_Qty ❑TransformersKVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) VALUE OF WORK$
Qty_volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safely inspection ❑Panel Change ❑OH to UG
❑Other:
Permit beconies void if work does not commmee within a six month Pernod or work is susendandoned for six months. I hereby cerofy that I have
reed this application and know the same to be mend correct. All provisions of laws and ordinances governing this work will be complied with whether
specified m not The permit does not give authority to violate the Provisions of any other some or Ioesi law regulation construction or the performance of
Construction.
Property Owners Namen I
j s t n e k Phone Number y 6 3 - t/ U O if
Electrical Company UA4el E "J'n % aF J`)° OfficePhone �l3/- y2•I° Fax13/-53 /I
Co.Address: 5-11 U `'A A . t-I'. u Ips -R IZ"P City .TGk State`L zip3230.
License Holder(Print): ti is�-L a '/ State Certification/Registration#M300 536
Notarked Signature of l is nse Holder p yl. v1n
Sworn and subscribed before me this,�_day�of/-4/I 1 c�20 B
6"""'b BRENDA K.GRIFFIN
A6 MYC°MMISS16NNWl93%6 Signature of Notary Public
°97q/ E%PIM Apn123,=