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1551 Ocean Blvd TEMP18-0037 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: TEMP18-0037 Description: 40 amps/240 volts/single-phase-temporary pole Estimated Value: 200 Issue Date: 9/19/2018 Expiration Date: 3/18/2019 PROPERTY ADDRESS: Address: 1551 OCEAN BLVD RE Number: 1718740000 PROPERTY OWNER: Name: Kenneth Denbesten Address: 7084 CANYON DR PARK CITY, UT 84098 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: KNIGHT ELECTRIC LLC Address: 908 S 1 1TH 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$7,500. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC]BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 00 Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: 06L�AAJ @J. PERMIT# 9E.5-0 JEA INFORMATION REQUIRED ON ALL PERMITS __'VO _AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE E Overhead [71 Underground Underground up Pole j Residential(Main)Service -A-100 amps F'101-150amps I 151-200amps I amps # of Meters F1 Commercial(Main)Service 0-100 amps 11101-150amps 15 1-200amps I-amps I ICI' Service Conductor Type_ Size I Multi-Family(Main)Service i-JO-100 amps 1101-150amps I I 151-200amps -amps of Unit Meters 7Temporary Pole L L10 - -amps SERVICE UPGRADE I I-amps I CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) I :100 amps 11 50amps I 200amps I' amps JCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps Appliances: 0-30amps 31-100amps 10 1-200amps A/C Circuits; 0-60amps 61-1 00amps Heat Circuits: .# circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS �".. Swimming Pool iSign I I Smoke Detectors_Qty ITransforniers KVA JMotors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty-volts/amps VALUE OF WORK$ REPAIRSIMISCELLANEOUS i Replace Elurnt/Darnaged.Meter Can I Safety Inspection )Panel Change -1OH tu 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 hCreby cortify that I havc read this application and know the saint to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specifiod or not, The pemit does not give authority to violate the provisions of any other qtate or local law regulation construction or the performance of conmetion. Property Owners Name Phone Number Electrical Company 414 Office Phone NO Fax Co. Address: Att- City State Zip License Holder (]Print): !a]�V,(- t'vj(C)I State Certification/Registration# th 701 ?S27 _ @I N ,1, 6 11".-00", Ider P 1, STEPP ay of 4��K_ Notary public -State of Flofida Swom and subscribed before e thi 20 10e COMMISsion #FIF 994782 Y31 020 MY COMM.Wires Wy 3 1.2020 Signature of Notary Pubfl " A"', ic 2 thfOugf,N'Wi�,nal Nuiary Assn (T A A Cash Register Receipt Receipt Number City of Atlantic Beach R6399 -17 t*- DESCRIPTION ACCOUNT QTY PAID PermitTRAK $94.00 TEMP18-0037 Address: 1551 OCEAN BLVD APN: 171874 0000 $94.00 ELECTRICAL $90.00 ELEC TEMP SERVICE 455-0000-322-10 00 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 FEES PAID BY RECEIPT: R6399 $94.00 Date Paid: Wednesday, September 19, 2018 Paid By: KNIGHT ELECTRIC LLC Cashier: CB Pay Method: CREDIT CARD 000630 40 Printed:Wednesday,September 19, 2018 11:19 AM 1 of 1