334 S Oceanwalk Dr TEMP19-0022 Temp Pole ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH TEMP19-0022
v~ 800 SEMINOLE ROAD ISSUED: 6/17/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 12/14/2019
MUST CALL INSPECTION . • • 1 i BY 4 PM FOR . INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
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:
334 S OCEANWALK DR ELECTRICAL TEMP POLE TEMP POLE $500.00
TYPE OF
• • GROUP:
169463 0518 OCEANWALK UNIT 02
COMPANY: ADDRESS:
FIRST CHOICE ELECTRIC 716 N VALLEY FORGE RD NEPTUNE BEACH FL 32266
INC
• ADDRESS:
BYRNES WILLIAM P 334 OCEANWALK DR S ATLANTIC BEACH FL 32233-4570
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 • •
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 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 10 1 $2.00
TOTAL: $94.00
Issued Date: 6/17/2019 1 of 2
Electrical Permit Application "ALL INFORMATION
rf1-1.�ry" HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
J
� Sl
800 Seminole Rd, Atlantic Beach, FL 32233 GMP 19 _ b Q Z�
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 3�-'c �c_G�� 1►,—�O. L.�,� L PROJECT VALUE$ SdG
JEA INFORMATION REQUIRED ON ALL PERMITS: o6 AMPS Z qd VOLTS PHASE
❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑O-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: �6 amps
❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps LiCT 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 ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: updated so/v/is
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. . 11 +
Owner Name: �J i l��a (.�f'll P_� Phone Number:
Electrical Company: Ft F-s j C r. L I CC_+X C, Office Phone: 4 C, -L`( (-133` Fax:
Co.Address: I lz JQI=�Fr2rtP QGk lACity: Hr-p -v"',e State:_�Zip: 3L�
License Holder: L. GNC 1M tate Certification/Registration#:
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this 4day of _ (\(, , tint e Stat �ridda, ty of
Signature of Notary Public
TONT GINDLESPERGER
", `•, MY COMMISSION#FF 924951 [ ] Personally Known OR[ ] Produced Identification
EXPIRES:October 6,2019 Type of Identification: �-'
Bonded Thru Notary Public Underwriters