1650 Park Terrace East TEMP18-0041 ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH TEMP18-0041
800 SEMINOLE ROAD ISSUED: 10/24/2018
_'a v ATLANTIC BEACH. FL 32233 E%PIRES:4/22/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
• • • CITY OF ATLANTIC BEACH CODEOF • • •
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,or federal agencies.
• . • r • • r • OF WORK:
1650E PARK TER ELECTRICAL TEMP POLE TEMP POLE $60.00
TYPE • BUILDING
CONSTRUCTION: NUMBER: GROUP:
1720200308 SELVA MARINA UNIT07
• ADDRESS: CITY: STATE: ZIP:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
• ADDRESS: CITY: STATE: ZIP:
Sean Traynor 1952 W. Sevilla Blvd. ATLANTIC BEACH FL 32233-5824
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
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-3223000 0 $55.00
STATE DBPR SURCHARGE 455-0000-20807M 0 $2.00
STATE OCA SURCHARGE 455-0000208-0800 0 $2.00
TOTAL:$94.00
Issued Date: 10/24/2018 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 165 PArIt Txrrr ,e_ (dasr PERMrr# RYIROTo4
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS - tq VOLTS PHASE
VALUE OF{PORK$ 690.
NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole
❑Residential(Main)Service
❑0-100 amps 1101-150amps 11151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 11101-150amps 11151-200amps ❑ amps 0 C Service amps
Conductor Type Size
❑Multi-Family(Main)Service
100 amps ❑101-150amps ❑151-200amps 11 amps #of Unit Meters
IflTempoinary Pole ❑amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D 100 amps ❑150amps D200amps ❑ amps DCT 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 ❑ Sign []Smoke Detectors_Qty I.ITransformers KVA '..IMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can !7 Safety Inspection ❑Panel Change ❑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. 1 hereby certify that 1 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 Name y SahN t-rnw ky, Phone Number
Electrical Company. KM`i r C—U—cm' u L Office Phone eZ- Mg Fax
Co.Address: P Aw S. q City 144, r �y State Fl, Zip 722-Iro
_ License Holder(Print): Q/2- !1'r t c.ata-GeRification/Registration# ER170IZ5;tT
I . d �r�:ce..�oHolder Ir
^• SHEHHIL STEPP
g' E Notary Public-State a1 Florida Sworn and subscribed before me this a3 day of t 20 1 S
Commission#FF 994782
�aP My Comm.Expires May 31.2020 Signature of Notary Public
.?p°:•b . Bonded through National Notary Alm.
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