1817 Atlantic Beach Dr TEMP18-0024 temporary pole permit S �
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
9' INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP18-0024
Description: 60 amps/240 volts/single-phase-temporary pole
Estimated Value: 250
Issue Date: 6/5/2018
Expiration Date: 12/2/2018
PROPERTY ADDRESS:
Address: 1817 ATLANTIC BEACH DR
RE Number: 169505 1515
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 1227 SAN JOSE BLVD STE 120
JACKSONVILLE, FL 32223
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: STRADA ELECTRIC & SECURITY
Address: 3400 ST JOHNS PARKWAY
SANFORD, FL 32771
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.
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
F'h ( 04 24 -5826 Fax 904) 247-5845 .E MP �f— Ol��y
JOB ADDRESS: PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _Laa_AAIPS ZIZVOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead Underground ❑T Underground up Pole
EResidential(Main) Service
❑0-100 amps ❑101-150amps 151-200amps ❑amps # of Meters
GCommercial(Main) Service
70-100 amps 6101-150amps ❑151-200amps ❑ amps CCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
[:110-100 amps E1101- 50amps ❑151-200amps ❑ amps #of Unit Meters
$temporary Pole amps
SERVICE UPGRADE ❑ amps 7-1 CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 7200amps - amps QCT Service amps
ADDITIONS,REMODELS,R.EPAIRS,1BUMD-OUTS, ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100arnps 101-200amps
Appliances: 0-30amps _ 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Pleat Circuits: # circuiti @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool L Sign Ll Smoke Detectors_Qty 0Transformers _ _ _ KVA 0Motors lip
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/ainps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
":Replace Burnt/Damaged Meter Can []Safety Inspection LPanel Change ❑OPT 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. 1 hereby certify that I have
read this application and know the game 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 N iolate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Phone Number
Electrical Company n ��' rO e Phone Fax ` -01
Co, Address: City _ Statep Zip,, 1
License Solder (Print): tate Certification/Registration#
Notarized,Si rta older
W. a STEPHANIE RALLO
Comore Non#FF 75 13 Sworn and subscrm ed before me is day of 20�
TM °im'^�^" 7D1° Si anile of Not Public
.R„ gn Notary
Z00/1.0012 XVd E9:9L 8LOZ/00/90
?S'"LJr
Cash Register Receipt Receipt Number
V City of Atlantic Beach R5247
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $243.18
ERES18-0183 Address: 1817 ATLANTIC BEACH DR APN: 169505 1515 $149.18
ELECTRICAL $145.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 300 $90.00
STATE SURCHARGES $4.18
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.18
STATE DCA SURCHARGE 45500002080700 0 $2.00
TEMP18-0024 Address: 1817 ATLANTIC BEACH DR APN: 169505 1515 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTALBY
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
06i(05;2018 08:16:44
CREDIT CARD
VISI SALE
Card XXXXXXXXXXXX3791
SEQ#: 2
Batch#: 620
INVOICE 2
Approval Code: 705061
Entry Method: Manual
Mode: Online
Tax Amount $0.00
Card Code: M
SALE AMOUNT $243, 8
Date Paid:Tuesday,June 05, 2018
CUSTOMER COPY
Paid By: STRADA ELECTRIC & SECURITY
Cashier: BA
Pay Method: CREDIT CARD 2
Printed:Tuesday,June 05,2018 8:18 AM 1 of 1
TIIAIGT