1711 Beach Ave TEMP19-0011 temporary pole permit ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH TEMP19-0011
ISSUED: 3/11/2019
800 SEMINOLE ROAD EXPIRES: 9/7/2019
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
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, or federal agencies.
DESCRIPTION:
JOBAD-DRESS: PERMITTYPE: VALUE OF WORK: Em
1711 BEACH AVE ELECTRICAL TEMP POLE 60 amps/240 volts/single- $200.00
phase -temporary pole
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1696610000 NORTH ATLANTIC BCH
UNIT 1
COMPANY: I ADDRESS: CITY: S E:
UNITED ELECTRIC
COMPANY OF 5716 SAINT AUGUSTINE ROAD JACKSONVILLE FL 32207
JACKSONVILLE
CITY:
OWNER: ADDRESS: STATE:
PECORARO RUSSELL 1211 SALT MARSH LN FLEMING ISLAND FL 32003
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:3/11/2019 1 of 2
ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
TEMP19-0011
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/11/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 9/7/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date: 3/11/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
r) City of Atlantic Beach Building Department GRAY IS R�.QLIIRED.
1 800 Seminole Rd, Atlantic Beach, FL 32233 -T&tk'p I q 0 0 1
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RES-1 ? -0
JOB ADDRESS:- 1 -111 6 0-0' 01 k R V-e- IN)I -PROJECT VALUE$ 7- 0!9- 0 0
JEA INFORMATION REQUIRED ON ALL PERMITS: 6 0 AMPS )V 0 VOLTS PHASE
El NEW SERVICE: 0 Overhead 0Underground []Underground up Pole
E3Residential(Main)Service:
00-100 amps [3101-150amps 0151-200amps EL-amps #of Meters
OCommercial(Main)Service:
[10-100 amps 0101-150amps 11151-200amps El amps [3CT Service_amps
Conductor Type Size
[]Multi-Family(Main)Service:
OD-100 amps 0101-150amps [1151-200amps [3_amps #of Unit Meters
TE'MPORARY POLE: 60 amps o 4
OSERVICE UPGRADE:[]_amps OCT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
C]100 amps [3150amps []200amps 0 amps OCT 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 05ign []Smoke Detectors (Qty) ElTransformers KVA []Motors HP
F�FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
E]Replace Burrvt/Damaged Meter Can []Safety Inspection OPanel Change E]OH to UG
ather: Updated 10/17118
Permit 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 not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Owner Name: s e- C o r a c o Phone Number: Y6 3 - L/4 ob
-73 1 - / 2'/'�' --73/ - 53
Electrical Company: UAI+tJ 016�r,-4- CO OP J�4 OfficePhone: L Fax:-
Co.Address: 5-7/ G, 5 vc, L) 6 City: J-C.>& State:FL- _zip: 3.2-2 !0'7
License Holder: W W " (,k r-'t A 1h 161014 State Certification/Registration#: 125C 13 0 0 53 6 7
Notarized Signature of License Holder..
The foregoing instrument was acknowledged belore me this 1LLr%y of fharck
Signature of Notary Public. in�tSta e I Florida,County of A)
�&'Ay
"N, BRENDA K. GRIFFIN 44fe'rsonally Known OR[ I Produced Identification
MY COMMISSION#GG 193986 Type of Identification:
EXPIRES April 23,2022
OF Fl.