1671 PARK TER W - TEMP POLE ?irL`J
(..._
'"Pr ss1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
P:40111' INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP18-0031
Description: TEMP POLE
Estimated Value: 0
Issue Date: 8/7/2018
Expiration Date: 2/3/2019
PROPERTY ADDRESS:
Address: 1671 W PARK TER
RE Number: 172020 0332
PROPERTY OWNER:
Name: JOSEPH & KATHERINE ALBERTI
Address: 1671 PARK TER W
ATLANTIC BEACH, FL 32233-5609
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
r p Ph (904) 247-5826 Fax(904) 247-5845 Tn P ( 8 _ 003 (
JOB ADDRESS: l�p 7 I P4rj( 7rcrff C .Sr PERMIT# ge_5//-(I 0010
JEA INFORMATION REQUIRED ON ALL PERMITS YO AMPS , c civ VOLTS I PHASE
VALUE OF WORK$ 41/U
NEW SERVICE ❑ Overhead n Underground ED Underground up Pole
I I Residential(Main) Service
I0-100 amps 1101-150amps 1151-200amps 1 amps # of Meters
TCommercial(Main) Service
i_10-100 amps I i 101-150amps i.. 151-200amps L amps f ,CT Service amps
Conductor Type Size
i. Multi-Family(Main) Service
:_j_0-100 amps 1101-150amps I 1151-200amps ; I amps #of Unit Meters
emporary Pole i I yo amps
SERVICE UPGRADE I.1 amps , CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
:_I100 amps 11150amps T 200amps I I amps "1CT 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 (a? kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
_]Swimming Pool I Sign I !Smoke Detectors_Qty I Transformers KVA I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps_ VALUE OF WORK$
REPAIRS/MISCELLANEOUS
I I Replace Burnt/Damaged Meter Can I ,Safety Inspection Panel Change 10H to UG
I 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. AU 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 30SePt'1 A i6 211-tc _Phone Number
Electrical Company a . , Wk. -. C ! I t-L. : Office Phone .2147-. ►r DS Fax 2 '4'60
3
Co. Address: 91q LI F` PiC 4 City T a ,k State Zip
License Holder (Print): We_ i Shr State Certification/Registration# 02) 30_2313
aiw Ider
"'44 SHERRI L STEPP
��t�Y PCy��i ' ,/t
+..�. .'1' Notary Public-State of Florida Sworn and subscribed before me t•"• 7 d: • A.tJG�.1 20
�., , .y , comm.., ,er FF 994782
`',;�„1_`-. :11!'C.,mm.Expires May 31.2020 Signature of Notary Public .41/..24.1.211,I
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