2434 Seminole Rd TEMP18-0033 temporary pole permit CITY OF ATLANTIC BEACH
, ? 800 SEMINOLE ROAD
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: TEMP18-0033
Description: 40 amps/240 volts/single-phase -temporary pole
Estimated Value: 250
Issue Date: 8/22/2018
Expiration Date: 2/18/2019
PROPERTY ADDRESS:
Address: 2434 SEMINOLE RD
RE Number: 168354 0150
PROPERTY OWNER:
Name: RICHARD BOEHME
Address: 1361 13TH AVE S#1 07A
JACKSONVILLE BEACH, FL 32250
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.
J iJJV,S—t 1mi41iL 1 L111V11 a rLr r jwa%,J%A AVl,q
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax(904) 247-5845 7L M $— 33
JOB ADDRESS: .2y3 Ne-MoA,e 9A PERMIT# FE515.011
JEA INFORMATION REQUIRED ON ALL PERMITS Lf U AMPS 47 yl) VOLTS r PHASE
VALUE OF WORK S � •
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
'Residential(Main) Service
I.10-100 amps ,�101-150amps 1::151-200amps ['.l amps # of Meters
I ]Commercial(Main) Service
.0-100 amps 7101-150amps 151-200amps ❑ amps I..]CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
100 amps U 101-150amps 7151-200amps F- amps #of Unit Meters
!rI`Temporary Pole ..tramps
SERVICE UPGRADE :I amps I:: CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L 1100 amps 11150amps I .200amps I amps CCT 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 I::] Sign ❑Smoke Detectors__Qty i".Transformers (CVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps _ VAL UE OF WORK S
REPAIRS/MISCELLANEOUS
)Replace Burnt/Damaged Meter Can I.. Safety Inspection I (Panel Change 0OH to UC
C1 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. 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.
Property Owners NannePit Mr 60�fih1 _Phone Number
Electrical Company t �(�,r 6t.:,C` 1A i C., L 1~ Office Phone 2V7- M q Fax
Co. Address: �U� /��` �t>e'' jc�, City 5Ai, 1 Suite f-L Zip-722 3z
License Holder(Print): S",Fc✓< IVl Ar- State Certification/Registration# L'�1-YJ 2�23
Notarized Signature of License Holder 2z
��PJN�at, SHERRI l STEPP Sworn and subscribed before me this da of t)Gl 201
iP. is Notary Public•State of Florida y
w = Commission#FP 994782
�: My Comm.Expires May 31,2020 Signature of NotaryPublic 1
�'
° ��" Bonded through National Notary Assn,
S
Cash Receiptister
s� •
City of Atlantic BeachR6113
DESCRIPTION • QTY PAID
7permitTRAK $363.18
ERES18-0201 Address: 710 TRITON RD APN: 171338 0000 $55.00
ELECTRICAL FINAL 08/14/2018 RBE $55.00
ELECTRICAL FINAL 08/14/2018 RBE 45530003221002 0 $55.00
ERES18-0272 Address: 2434 SEMINOLE RD APN: 168354 0150 $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 455-0000-208-0700 0 $2.18
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ERES18-0273 Address: 1896 BEACH AVE APN: 169542 0600 $65.00
ELECTRICAL $61.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 10 $6.00
FIXTURES
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TEMP18-0033 Address: 2434 SEMINOLE RD APN: 168354 0150 $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 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL "PAID BY RECEIPT: • $363.18
Date Paid: Wednesday, August 22, 2018
Paid By: KNIGHT ELECTRIC LLC
Cashier: CB
Pay Method: CREDIT CARD 094754
Printed:Wednesday,August 22, 2018 10:48 AM 1 of 1