229 Pine St TEMP18-0036 temporary pole permit sJ 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: TEMP18-0036
Description: 50 amps/240 volts/single-phase -temporary pole
Estimated Value: 100
Issue Date: 8/31/2018
Expiration Date: 2/27/2019
PROPERTY ADDRESS:
Address: 229 PINE ST
RE Number: 170563 0010
PROPERTY OWNER:
Name: RUBIN DENISE P LIFE ESTATE
Address: 229 PINE ST
ATLANTIC BEACH, FL 32233-4013
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HARRIS ELECTRICAL CONTRACTING
Address: 889 JOHNS AVE
ORANGE PARK, FL 32065
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 &N1 </^ D 3c0
Ph(904) 247-5826 Fax (904) 247-5845 b
JOB ADDRESS: 1�g v(- pt� 4 `�'t���� PERMIT#-kas
JEA INFORMATION REQUIRED ON ALL PERMITS Sa AMPS X10 VOLTS PHASE
e'v
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
[]Commercial(Main)Service
00-100 amps ❑101-150amps 151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
[temporary Pole ❑_amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty []Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[I Replace Burnt/Damaged Meter Can F1 Safety Inspection Li Panel Change 11 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. 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. p l
Property Owners Name le'4 b v► 11 Phone Number
r
Electrical Company 140r/5 txledl1cA ��r�'ssAOffice Phone 00V F4,4�?MFax 2Z24
Co. Address: P.()- at,u 2p Z 10 City Dr State FL-Zip, 3Za6 S
License Holder(Print): v k er State Certific i n/Registration# !�—'I f AWY724
N e Ider
• h�, JENNIFE JO
riQ•'�• ••:'�', MY COMMISSION#GG 042984
EXPIRES:October 27,2020 worn and subscribed before me this day of 20 l
° P 7�Notyry public Underw6ters
'-f�F eo"d� ignature of Notary Public