461 ATLANTIC BLVD TEMP18-0027 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
o� V INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP18-0027
Description: TEMP POLE
Estimated value: 200
Issue Date: 6/25/2018
Expiration Date: 12/22/2018
PROPERTY ADDRESS:
Address: 461 ATLANTIC BLVD
RE Number: 170691 0010
PROPERTY OWNER:
Name: ATLANTIC BEACH YARD REAL ESTATE LLC
Address: 1238 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CORTES ELECTRIC JOSE ELECTRIC
Address: 3233 Bridgecove CIR
JACKSONVILLE, FL 32216
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)24 -5826 F (9 ) 247- 845 I Em P - I8-O oz-17
JOB ADDRESS: 4 n L L� PERMTT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2V6 VOLTS PHASE
VALUE OF WORK$— ;70 (f)
NEW SERVICE ® Overhead ❑ Underground ❑!Underground up Pole
❑Residential(Main)Service
110-100 amps ❑101-150amps ❑151-200amps []______amps #of Meters
❑Commercial(Main)Service
110-100amps 11101-150amps 0151-200amps ❑ amps 0 C Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 0101-150amps ❑151-200amps ❑ amps #of Unit Meters
)ilTemporary Pole ❑-,��amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 11200amps []_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 ❑ 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 Bund/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. t hereby certify that 1 have
read this application and know the same to be tore 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 my other state or local law regulation construction or the performance of
constravoca.
Property owners Name �// / Phone Number
Electrical Comi Epany,4 Q�� A/e/'K/OV h^ —'T-IJr' Office Phcne,22 �/X-iP9'Fax
Co.Address: 2/ s7 ` Cit e zip 3 /6
License Holder (Print): +s5 �sr S State j egistration#6�X /.34R/3r79
No older
h " + �'• TOM GIMI-ESPEBGEa
;; MvcoMMISSIGNCFFMMI Sworn and subscribed before Sday 200
B,,&dT"""°''o'^�°b"`6"*'""` Signature of Notary Public