1596 MARITIME OAK DR TEMP19-0012 TEMP POLE PERM "�O " k ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
TEMP19-0012
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/15/2019
EXPIRES: 9/11/2019
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1596 MARITIME OAK DR ELECTRICAL TEMP POLE TEMP POLE $150.00
TYPE OF REALIESTATE I ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: R
ATLANTIC BEACH
169505 1975 COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
HUNTER ELECTRIC 11624 DAVIS CREEK ROAD EAST JACKSONVILLE FIL 32256
COMPANY
OWNER: ADDRESS: CITY: STATE: ZIP:
ZALUPSKI CHRISTOPHER E 275 1ST ST S JACKSONVILLE FL 32250-6747
BEACH
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 $3S.00
ELECTRICAL BASE FEE 4SS-0000-322-1000 0 $S5.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 $2.001
Issued Date: 3/15/2019 1 of 2
ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/15/2019
ATLANTIC BEACH. FIL 32233 EXPIRES: 9/11/2019
TOTAL:$94.00
Z c�2
Issued Date:3/15/2019
ELECTRICAL PERMITAPPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 C--(y-w 0 C)I
JOB ADDRESS: 1579 to M ac'A'p6t 00,� U r PERMIT# -0"3n
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUEOFWORK$ 156, 00
NEW SERVICE 0 Overhead 6Underground Underground up Pole
iesidential(Main) Service
DO-100 amps D 101-150amps 0 151-200amps O_—amps of Meters
DCommercial(Main) Service
0 0-100 amps C.10 1-1 50amps D 151-200amps D_amps OCT Service amps
Conductor Type Size
PMulti-Family(Main)Service
A 0-100 amps 0101-150amps El 151-200amps 0_amps 4 of Unit Meters
V Temporary Pole O_CpD amps
SERVICE UPGRADE 11 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D100amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-3 Oamps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
DSwimmingPool DSign 0 Smoke Detectors_Qty OTransformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
DReplace Burnt/Damaged Meter Can D Safety Inspection OPanel Change DOH to UG
DOther:
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,
Property Owners Name-DftM �^Aem Phone Number CIA�-q87_ �ajj
.. ILI
Electrical Company_ \AwAtr 5-\er-krz- Office Phone*91AH905 Fax 109-%10V0-
Co. Address: MWAk bawo ere 0-f- 9j C City-5X&PkhAf State Zip 3;t7510
License Holder(Print): JAU&rA/ -,Z A State Certification/Registration 1S&j-'n5;b
Notarized Signature of License Holder
REBECCA RUSH Before me this V�Y---day of 20
Notary Public,State of Florida
My Comm.Expires 07/12/21 Signature of Notary Public
Commission No.GG101570 V
Cash Register Receipt Receipt Number
City of Atlantic Beach R8438
01 -- -I i
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $243.18
ERES19-0089 Address: 1596 MARITIME OAK DR APN: 169505 1975 $149.18
ELECTRICAL $145.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 300 $90.00
STATE SURCHARGES $4.18
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.18
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TEMP19-0012 Address: 1596 MARITIME OAK DR APN: 169505 1975 $94.00
ELECTRICAL $90.00
ELEC TEMP 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 FEES PAID BY RECEIPT: R8438 $243.18
Date Paid: Friday, March 15, 2019
Paid By: HUNTER ELECTRIC COMPANY
Cashier: CB
Pay Method: CREDIT CARD 15090
Printed:Friday, March 15, 2019 9:20 AM 1 of 1