971 Amberjack TEMP18-0046 ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH TEMP18-0046
,t s ISSUED: 12/3/2018
800 SEMINOLE ROAD EXPIRES:6/1/2019
% u ATLANTIC BEACH. FL 32233
INSPECTIONMUST CALL •NE LINE (904) 247-5814 BY 4 PM F• • NEXT DAY
ALL WORK MUST CONFORMTO THE CURRENT ISTH EDITIONt
CODE, NEC, IPIMC, 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,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
971 AMBERJACK LN ELECTRICAL TEMP POLE $350.00
TYPE • ILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:•
1711730000 ROYAL PALMS UNIT01
COMPANY: ADDRESS:
National Electrical 5783 Mining Terrace#6 Jacksonville FL 32257
Contracting LLC
• ADDRESS:
LUNDGREN ERIK 971 AM BERJACK LN ATLANTIC BEACH FL 32233-4226
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 TE MP SERVICE 455-0000-3231000 0 $35.00
J ELECTRICAL BASE FEE455-OOOOd22-1000 0 $55.00
■ STATE DBPR SURCHARGE 455A000-208-0]00
'■■I STATE DCA SURCHARGE 455-0000-208-0600 0 52'00
TOTAL:$94.00
Issued Date: 12/3/2018
ELECTRICAL PERMIT APPLICATION Q �+
CITY OF ATLANTIC BEACH k9l�SA-(S--
—
800 Seminole Rd,Atlantic Beach,FL 32233
JOB ADDRESS: / `�s Ph(904)247-5826 Fax(904)247-5845
—� /'M'`
Ck EanL O 740
PERMIT# S ._ o2r
JEA INFORMATION REQUIRED ON ALL PERMITS ZOD
AMPS Z�{p VOLTS PHASE
VALUEOFWORK$
NEW SERVICE
❑ Overhead
Residential(Main)Service 13 Underground D Underground up Pole
^0-100 scope :101-1SOGCommeroiW(Main)Servamps
❑]51-200amps
GO-100 drops 0 .ce ❑
_amps #ofM3te
Conductor Type 150amps -
0151-200amps --
0Multi-Family(Mala)Sal rnce- Sim -
_cps --'CT Service__grgps
_ 0 B1pps :101-150amps J151-200=p,CK ---ar"ps #of unit Meters_
SERVICE UPGRADE
7j_amPs 7 CT Service
NEW FEEDER amps(ADDTTfONS,ACCESSORY STRUCTURES,ETC.)
1_1100 amps C 150amps S200am
ADDITIONS, ps _ —amps CCTService_amps
REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Appliances:
__0-30am s _
Appliances: 0-30am s 31-IOOamps __I01.200amps
A/C Circuits: . - p —_31-100amps
Heat Circuits: _ 0-60- . 61-100ampe 101-200amps
Number of Lighting Outlets#Includi gcircuits �Fixtures:kw
OTHER ELECTRICAL PROJECTS
Swimming Pool F- Sign OSmoke Detecxm,_Qh ❑T"Usformers
SIRE ALARM SYSTEM KVA �Motors_hp
(Requires 3 seta of plans)
QtY volts/amps
t"AIRS/MSCELLANEOUS VALUEOFWORHS '3_r0
Replace Bund/Damaged Meter Can Gty Inspection Safe
0 CPanel Change DOH to UG
L Other:
:rmit biomes void if work does not commence within a six month period or work is sus
,d Nis application and know the same to he true and coact qll Periodn
xiPed or not The pended ora bandoned for six months. i harsh
Permit does not give euthoriry to violin P sof laws Ind ordinances goveming this work will be complied with whethertve
retraction, the pmvislons ofeny other state or local l
regulation construction or the perfonnanae of
petty Owners Name ";c- �„ J
aw
p n
,ctrical company Jj'+"y_ I Phone Number So°I-S'37
.Address: 5"74-3 LC Office Phone 101-2�j F
aax
ansa Holtler --- �2�2x7Se_L%Zip
rarized Signature ojLicense Holder State Certif cation/Registmti0n# A(13�/53_/
F ,
8'ay*: SHANE H.CggpiUFF om and subscribed /
1 CamMss�mgFF4lapYa before me this
`: Fxplree<:r;ir.zol9 day of edea--rJe— 201r
�a.., .n..+,,,,,, , gnature of Notary Public
Cash Register Receipt Receipt Number
City of Atlantic Beach R7513n
DESCRIPTION ACCOUNT CITY PAID
itTRAK $94.00
TEMP18-0046 Address: 971 AMBERJACK LN APN: 171173 0000 $94.00
ELECTRICAL $90.00
ELECTEMP SERVICE 455-0000-322-1000 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 • 11
Date Paid: Monday, December 03,2018
Paid By: National Electrical Contracting LLC
Cashier: BA
Pay Method: CREDIT CARD 7 'aE'
Printed:Monday,December 03,20183:21 PM 1 of 1 11