835 Atlantic Blvd TEMP19-0014 Car Wash ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
SCAT 3(]I i� CITY OF ATLANTIC BEACH T ISSUED:
0014
l 800 SEMINOLE ROAD EXPIRES:
#Date
:�ATLANTIC BEACH. FL 32233ALL EXPIRES: 10/6/2019
• . • • • . • • • • • • • • • ' L
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:
100 amps/208 volts/single-
835 ATLANTIC BLVD ELECTRICAL TEMP POLE phase-temporary pole for $100.00
car wash
TYPE OF ZONING: SUBDIVISION:ILDING USE
CONSTRUCTION: GROUP:
177602 0010 SECTION LAND
ADDRESS:
MUNSON & BRYAN 3434 STAUGUSTINE RD JACKSONVILLE FL 32207
ELECTRICAL CO.
ADDRESS:
FEIGLEY LESLIE LYON 724'S WASHINGTON AVE GREENVILLE MS 38701-5831
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 • r
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 4550000-3221000 0 A22;22ELECTRICAL BASE FEE 455-0000-322-1000 0STATE DBPR SURCHARGE 455-MM 208-0700 0STATE DCA SURCHARGE 455-0000308-0600 0
Issued Date:4/8/2019 1 of 2
-'ALL INFORMATION
Revision Request/Correction to Comments HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY 15 REQUIRED.
r 800 Seminole Rd,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept coab.us PERMIT#: TEMP19-0W4
❑� Revision to Issued Permit OR ❑Corrections to Comments Date:a 19
Project Address: 8350anacl
Contractor/Contact Name: eratl SeeblrWer
contact Phone: PIH)99eaaaa Email: bre @`rureonandb7an.can
Description of Proposed Revision/Corrections:
Please change the volts #from 240 to 208 p2rJENS request
I a�9eelbleex affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
Will proposed revision/corrections add additional square footage to original submittal?
•[]No ❑Yes(additional 51 to be added: i
•�0(�II proposed revision/corrections add additional increase In building value to original submittal?
[IND ❑'Yes(additional increase in building value:S (candor MA sire R increue in nIUAIOe)
-Signature of Contractor/Agent��
(Office Use Only)
❑Approved ❑Denied ❑Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building Reviewed BY
Planning&Zoning
Tree Administrator
Public Works
Publy Utilities Date
p,dlic Safety uPddev ra/npa
Are Services
A