1876 Beach Ave Temp18-0026 Permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
� ATLANTIC BEACH,FL 32233
,y INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP18-0026
Description: 200 Amp 240 Volts
Estimated Value: 5000
Issue Date: 6/21/2018
Expiration Date: 12/18/2018
PROPERTY ADDRESS:
Address: 1876 BEACH AVE
RE Number: 169542 0608
PROPERTY OWNER:
Name: MARTINEZ ANDREW
Address: 1876 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Exceed Electric Inc
Address: 5290 Floral Bluff Ct
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
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
/ /j/lePh(904)247-5826 Fax(904)247-5845
�` Terms L0 ao,r^.
JOBADDRESS: �// 7I'/ ach /l✓enre -PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS ZJV_AMPS I-YQ VOLTS PHASE
VALUE OF WORKS ;000
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
(Residential(Main)Service
10-100amps 0101-150amps 0151-200amps ❑ amps #of Meters
Ll Commercial(Main)Service
1 0-100 amps ❑101-150amps ❑151-200amps ❑ amps F1 CT Service_amps
Conductor Type Size
[]Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
,®Temporary Pole lb /o// amps
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps []____-amps CI Cr Service_amps
ADDITIONS,REMODELS,REPAIRS,BU ILD-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
❑Switnming Pool ❑ Sign ❑Smoke Detectors—Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK S
Qty volts/amps
REPATRS/MISCELLANEOUS
❑Replace Bum/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. 1 hereby certify that 1 have
read this application and know the some 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. n
L� LL
Property Owners NameNc-
C' ,f '?II Phone Number
Electrical Company y M(y Ifle c Al le Office Phone j9ZtZ'_6691 Fax
Co. Address: /_/4/2) Q/ �f/-La I ail( City ./,t, �rpp�State_FZ_Zip.3?v'�
License Holder(Print): / 44 m �7L� State Certification/Registration# f_CI�Oad j`2
Notari78,Q '
JENNIFEa JOHN$TON day of 1711 IlP_20yU
;+('r'"' ? nrvwdmssosrca azelu
Sworn and subscribed before me this
N=
a.
EX M$'.Qasat P,MO
' e. y eo„draTlwNa.nl' ualbrMar" Signature ofNotaryPublic
CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
DateZ.T Revision to Issued Permit_,V Corrections to Comments_ Permit# jf G�
Project Address
Contractor/Contact Name
Phone SOLI ` Sok9 3 Email A) �Ar /t)
Description of Proposed Revision/Corrections: Permit Fee Due$
�''E��G��� �e/11 n�� over c/a er� 7�TQti✓P��QIP
Additional Increases in Building Value $ Additional S.F.
By signing below,I /V Jr 41A ISf�t:AA affirm the Revision is inclusive of the proposed changes.
(printed name)
.A ';�41
7/iZ 11r
Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date
(Office Use Only)
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required:
Building
Planning & Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services