1631 Atlantic Beach Dr TEMP18-0035 temp pole permit s
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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: TEMP18-0035
Description: 60 amps/240 volts/single-phase-temporary pole
Estimated Value: 100
Issue Date: 8/24/2018
Expiration Date: 2/20/2019
PROPERTY ADDRESS:
Address: 1631 ATLANTIC BEACH DR
RE Number: 169505 1085
PROPERTY OWNER:
Name: ANN T SANTAYANA REVOCABLE LIVING TRUST
Address: 1886 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HUNTER ELECTRIC COMPANY
Address: 11624 DAVIS CREEK ROAD EAST ROBERT D HUNTER
JACKSONVILLE, FL 32256
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 t'✓�1P O 3.-
JOB ADDRESS: I (p 3I (Mjan4ir gionak br PERMIT # 10 - (314_7
JEA INFORMATION REQUIRED ON ALL PERMITS (DO AMPS d'16 VOLTS PHASE
VALUE OF WORK$ (QU' °CD
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
emporary Pole ❑__amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amps 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 Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH 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. I hereby certify that I have
read this application and know the same to be true and convect. 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. C —-
Property Owners Name ` level `JpSi41f� Ayd S r AAXoyA-Phone Number i('q-o?(*S-9ao3
Electrical Company 1Auft)ee `kcAtu. Office Phone Jl*-00,3 Fax M-0073
Co.Address: W44 CrCAX 00 P, City 34a*rmoi llt State Zip o2o1 S(0
License Holder(Print): 206r-� .,Stitte Certification/Registration# -4' 130U-aL350
Notarized Signature of License Holder
REBECCA RUSH Before me this )-j((A day of u 20
Notary Public,State of Florida
My Comm.Expires 07/12/21 Signature of Notary Publi
Commission No.GG 101570