325 9th St TEMP19-0019 Temp '• ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH TEMP19-0019
800 SEMINOLE ROAD ISSUED: 5/30/2019
rr v� V ATLANTIC BEACH. FL 32233 EXPIRES: 11/26/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
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 aswater management districts,state agencies,orfederal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
3259TH ST ELECTRICAL TEMP POLE 60 amps/240 volts/first $0.00
phase-temp pole
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170036 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
HART ELECTRIC COMPANY 11084 Ker Del RD JACKSONVILLE FL 32218
• ADDRESS:
FRIEDERICHS BRIAN PHILIP 378 6TH ST ATLANTIC BEACH FL 32233
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 455-0000322-1000 0 $3500
ELECTRICAL BASE FEE 455-0000322-1000 0 $5500
STATE DSPR SURCHARGE 4550000-208-07M 0 52.00
STATE OCA SURCHARGE 455 0000208-0600 0 $2.00
TOTAL:$94.00
Issued Date:5/30/2019 1 oft
-'ALL INFORMATION
Electrical Permit Application HIGHLIGHTED IN
- City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd,Atlantic Beach, FL 32233 (
-%JKP l 9- 17015
Phone: (904) 247-5826 Email: l:wh'h'' PERMIT#1X'V✓V) l (P 13
JOB ADDRESS: 325 91h St Atlantic heath,FL 32233 —PROJECTT LVL�A�L�UE$
60
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JEA INFORMATION REQUIRED ON ALL PERMITS:CAMPS r'VOLTS_�/PHASE
❑NEW SERVICE: ❑Overhand []Underground []Undergroundup Pole
E3Resldential(Main)Service:
00dG0 amps 0101-150amps 0151-200amps i]_.amps N of Meters
[]Commercial(Main)Service:
00 100 amps 0101-150amps 0151-200amps 0___amps []Ciservice_amps
Conductor Type Size
pMuld-Family(Main)Service:
DD-100 amps 1101 150amps []151.200amps 0—amps N of Unit Meter
Q TEMPORARY POLE:-bD_amm
❑SERVICE UPGRADE:[]__amPs OCT Service_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
C11GOamps i]350amps 11200amps 0-----amps aT Service__amps
❑ ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches: __0-30amps __31-100amp5 101.200amps
Appliances: 0-30amps __31-100amps __101.200amps
A/C Circuits: 0-__9 _61-100amps
Heat Circuits: ---#circuits N)—_kw
Number of Lighting Outlets, Including Fixtures:
El OTHER ELECTRICAL PROJECTS: KVA i]Mntors___.HP
❑Swimming Pool 05ign Smoke Oetrctars__(city) OTransformers___—
FIRE ALARM SYSTEM (Requires 3 sets of plans):
QLV volts/amps_._____
REPAIRS/MISCELLANEOUS:
)]Replace Burnt/Damaged Meter Can []Safety Inspection []Panel Change QOH to UG a s"'a ave/la
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