791 Paradise Ln TEMP18-0039 C-.f,
ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH TEMP18-0039
'51
8005EMINOLE ROAD EXPIRES:4/15/2019
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIM FOR NEXT DAY INSPECTION.
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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,orfederal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
791 PARADISE LN ELECTRICAL TEMP POLE 60 Amp Temp Pole $200.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1723760170 PARADISE PRESERVE
ADDRESS:
MARCO ELECTRICAL 570 MILL CREEK ROAD JACKSONVILLE FL 32211
CONTRACTORS
• ADDRESS:
SPRINGFIELD BUILDERS LLC 1881 BEACH AVE ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
TOTAL:
Issued Date: 1 of 1
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 ��w p _
n /� (� �y � -13031
P{h(904)247-5588266 Fax(904)247-5845 �G,���O
JOB ADDRESS: 19 1 Pl A YI A 1 :l I�P I,VLI l l PERMIT#RES�.
JEA INFORMATION REQUIRED ON ALL PERMITS L90 AMPS OL10 VOLTS I PHASE
VALUE OF WORKJ ZOO
NEW SERVICE ❑ Overhead ❑ Underground Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps I 151-200amps !' amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 11151-200amps I amps [JCT Service_amps
Conductor Type Sim
❑Multi-Family(Main)Service
P0-100amps 0101-150amps 0151-200amps '! amps #of Unit Meters_
emporary Pole 0 I�(1 amps
SERVICE UPGRADE LJ-=PS I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100amps 0150amps 11200amps fl amps IJCT Service amps
ADDITIONS,REMODELS,REPM RS,BUHA-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 Q kw -
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[]SwimmingPool ❑ Sign ❑Smoke Detectors_Qty !.]Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK
REPAIRS/MISCELLANEOUS
[)Replace Bumt/Damaged Meter Can Cl Safety Inspection I.]Panel Change IJOH to UG
❑Other:
Pemdt 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 nm give authority to violate the provisions of my other nate or local law regulation construction or the performance of
construction.
Property Owners Nam6 r l n - v-Q Phone Number
Electrical Company G 1 1 V n Office Phone 5O Fax
Co.Address: `�o roll , eY�-P�" City�� 5'^�-r ll� State �� Zip Sill
License Holder(Print): - //State Certi 'on/Registration# 13 a 0-'12L 15
Notarized Signature of License Holder - L
Swom subscribed before this day of(C)4, e, 20)
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