1735 Maritime Oak TEMP19-0015 temp pole permit ELECTRICAL TEMP POLE PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH TEMP19-0015
ISSUED:4/22/2019
800 SEMINOLE ROAD EXPIRES: 10/19/2019
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, 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 applicableto 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:
173S MARITIME OAK ELECTRICAL TEMP POLE TEMP POLE $120.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP: —
ATLANTIC BEACH
169SO51785 COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP: —
TRI COUNTY ELECTRICAL 11637 E COLUMBIA PRK DR JACKSONVILLE FL 32258
OWNER: ADDRESS: CITY: STATE: ZIP:
LONDON W6 9TG
RUNQUIST ERIC WILLIAM 9 WELTIE RD UNITED KINGDOM
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 IWO a $35,00
ELECTRICAL BASE FEE 455-0(oO 322 1000 0 $55DO
STATE DBPR SURCHARGE 455�000-208 07W 0 $2GO
STATE DCA SURCHARGE 455-0000-208-0600 0
TOTAL:$94.00
Issued Date:4/22/2019 1of2
I p � 9 00 �Sl
Electrical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS. -173,5 Met,, af-7�, e"�'(t�41��'s bJ P
ROJECT VALUES
JEA INFORMATION REQUIRED ON ALL PER IT5:Lo AMPS �V VOLTS / PHASE
1771 NEW SERVICE: C1 overhead ClUnderground ElUndearground up Pole
13Residential(Main)Service;
MO-100amps C1101-150amps [3151-200amps EL—amps If of Meters
MCommerclal(Main)Service:
[30-100amps 13101-150amps 13151-200amps []_amps OCTService_amps
Conductor Type Size
CIMulti-Family(Main)Service;
OD-100 amps C3201-150amps 13151-200amps 1171 Trips #of Unit Meters
1� Ar EMPORARY POLE: 'I
AT -&( -amps
0 SERVICE UPGRADE:0—amps OCT Service_amps
7 NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
[3100 amps [3150amps []200amps 13______amps OCTSeN!ce_amps
0 ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches: ______j0-30amps 31-100amps —101-200humps
Appliances: -----P-30amps 31-200amps —101-200amps
A/C Circuits: _____0-60amps 1-100amps
Heat Circuits: —# circuits @ key
Number of Lighting Outlets, Including Fixtures:
El OTHER ELECTRICAL PROJECTS:
awimming Pool[]Sign DSmoke Detectors_(Qty) [31fransformers_KVA DMotors HP
FIRE ALARM SYSTEM(Requires 3 sets of plans);
city—volts/amps
REPAIRS/MISCIELLANEOUS:
[]Replace Burnt/Damaged Meter Can OSafety Inspection OPanelChange [1OH to UG UpdaradI0117118
E]Dther: iiiiiial�
Permit becommosa6d if..rk does net commerce within.six month period or work issiaspanded or abandoned for six months. I hereby cortify that I have
mad this application and know the same to be true and correct. All provIsions of laws and ordinances governing this Work will be compiled with whether
specifledornot, The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction
OwnerNahm: RIVERSIDE HOMES Phaci Nurrue,: (904)503-7055
Electrical company ir[C—Oun�YE—I!�tr—��lL�ntrictors rn.OfficaPhone oF�)26crM _Fax a04)2%�6DB
Co.Address: 11637 EmatC.1aphiso ParkDrive ity, Jacksonville Statc:.FL Zip: 32258
License Holder:�Kevin L. Weir ate C rtificaren/Registratien# EC13005421
Notarized Signature of License Holder
g I edlieforemethis IS day o(e&;�201 j in the State of Florida,County of—A��
TAMMY PALL
Notary Public-State.1 Florida Signature of Notary Public
central I FF 99542B Personally Known OR Produced Identification
4- Jill 6,2020
B MY game.Expire, 4y-pe of Identification:
reld lhrs,lh Nnneral Is,
Cash Register Receipt Receipt Numbe
City of Atlantic Beach R8794
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $94.00
TEMP19-0015 Address: 1735 MARITIME OAK APN: 169505 1785 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 0 $35.00
ELECrRICAL BASE FEE 455-0000-322-1000 $55.00
STATE SURCHARGES N
STATE DBPR SURCHARGE 5 -1010-20 -0700 0 $2070
0000
STATE DCA SURCHARGE �455-0000-208'8
TOTAL FEES PAID BY RECEIPT: R8794 $94.00
Date Paid: Monday,April 22, 2019
Paid By:TRI COUNTY ELECTRICAL
Cashier: CB
Pay Method: CREDIT CARD 1
Printed:Monday,April 22,2019 9:48 AM 1 of 1