1765 Selva Marina TEMP18-0048 ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH TEMP18-0048
800 SEMINOLE ROAD ISSUED: 12/10/2018
%lu V ATLANTIC BEACH. FL 32233 EXPIRES:6/8/2019
MUST CALL
Y 4 PM FOR NEXT DAY INSPECTION.
ALL • . INSPECTION• • • • • . • r 4F TmE FLfRI1A
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCE
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:
1765 SELVA MARINA DR ELECTRICAL TEMP POLE $300.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172018 0000 SELVA MARINA UNIT 05
COMPANY: ADDRESS:
DAN'S ELECTRICAL 6451 BEACH BLVD JACKSONVILLE FL 32216
CONTRACTING
• ADDRESS:
CLINE CHRISTOPHER 1765 SELVA MARINA DR ATLANTIC BEACH FL 32233-5638
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.
L15T OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC TEMP SERVICE 455-0000-322 TOM 0 $35A0
ELECTRICAL BASE FEE 4550000,322 TOM 0 $55.00
STATE DBPR SURCHARGE 455-OOM-208-07M 0 $2'�
STATE DCA SURCHARGE 455-0000-2080600 0 $2'00
TOTAL:$94.00
Issued Date: 12/10/2018 1 of 2
Electrical Permit Application epLL1NFORARAN
PP HIGHLIGHTED I
City of Atlantic Beach Building Department GRAY IS REQUIRED. Cs
800 Seminole Rd,Atlantic Beach, FL 32233 �P 1& 00 y0
Phone: (904) 247-5826 Email: Building-Deptna COab.US PEnMrra:lRCS 1R-03-57
JOB ADDRESS' 1765 Selva Marina Dr. PROJECT VALUES(Ofi J,� _
JEA INFORMATION REQUIRED ON ALL PERMITS:_AMPS ).4 D VOLTS I PHASE
❑NEW SERVICE: ❑Overhead ❑Underground OUnderground uP Pok
Mesiderltial(Main)Service:
00-100 amps MOI-150amps (3151-200amps ❑ amps IN of Meters_
❑Commercial(Main)Service:
C10-100amps 0101-150amps 0151-200amps EL—amps OCT Service_amps
Conductor Type Size
ClMulti-Family(Main)Service:
❑3-100 amps E3101-150amps [1151-200amps 0_amps If of Unit Meters
❑✓ TEMPORARY POLE: w amps
❑SERVICE UPGRADE:❑_amps OCT Sewice_amps
❑NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100amps ❑lSoamps 02oDamps ❑_amps [3:TSelv1ce_amPS
❑ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches: 2, -30amps 31-100amps 101-200amps
Appliances: 0-30amps 31100amps _101-200amps
A/C Circuits: _0-60amps 61-100amps
Heat Circuits: If circuits is 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):
qtyvoltvamps
❑REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑.Safety Inspection ❑Panel Change ❑OH to UG
uPearee eo/iv/ia
tether.
Permit becnmesvold 4 work does not commence within a six monM period or work is suspended or abandoned tor,t;morons. I ho dory certify that I have
readthisappliatian and knowthe someto be true and correct. All provisiom of laws and ordinance,;"mm,this work will be Complied with whether
specified or not. The permit does not give authority to violate the provisions of any other some or tool law regulation�co0nsst��ructtiriio�ln norr me Performance of
consWcoun ," �i �, Phone Number: 'Is�l' /1 D— n
Owner Name: C h 5 i'o e' 11J
Electrical Company: awra Saaaairal Cwtraodin; me Office Phone: Poll)146900 Fax:
Co.Address: 1891 yveal Rd City: jacket a State:n Zip: =is
License Holden State Certification/Registr rip: Ecisti262A
Notanzed signature of license 7lolder �
The foregoing instrument was acknowledged before me this�I day of 20�in the State of Florida,County Of))UUu'
Signature of Notary Public
"q TRACEE ROBINSON "�
a i Nomry P.bik-Smm al Florida i l perianally Known OR[y1 Produced MCMifr tic n
Commission•GG 012427 Type of Identification:r
,4.%W My Comm.Expires Sep 16.2020
ogistCash RCity e
f Atlantic Beach R7572
er
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK A$169.48
ERES18-0411 Address: 1765 SELVA MARINA DR APN: 1720180000 ELECTRICAL ELECTRICAL BASE FEE 455-0000-322-1000 0 ELEC NEW SINGLE FAMILY 455-0000-322-1000 400 STATE SURCHARGES STATE DBPR SURCHARGE 455-0000-208-0]00 0
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TEMP18-0048 Address: 1765 SELVA MARINA DR APN: 172018 0000 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 451-0000-322-1000 0 $55.00
STATESURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-W00 0 $2.00
STATE DC45URCHARGE 455-0000-208-0600 0 $2.00
TOTAL
Date Paid: Monday, December 30,2018
Paid By: DAN'S ELECTRICAL CONTRACTING
Cashier: BA
Pay Method:CREDIT CARD 6
Printed:Monday,December 10,2018 2:21 PM 1 of 1