825 Sherry Dr TEMP19-0024 ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH TEMP19-0024
Vr 800 SEMINOLE ROAD ISSUED: 6/24/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 12/21/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • '
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL • i OF • • PLEASE READ
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.
• : A• • • r • OF • •
825 SHERRY DR ELECTRICAL TEMP POLE TEMP POLE $350.00
TYPE OF r
ZONING: : r •
• • GROUP:
169983 0000
COMPANY: ADDRESS: CITY: STATE: ZIP:
BEACHES ELECTRIC 214 COKESBURY Cl- GREEN COVE FL 32043
SERVICES INC. SPRINGS
• err • CITY: STATE: ZIP:
Bar Realty Group
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.
I
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 4S5-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date:6/24/2019 1 of 2
I (,aq 9 - 001 (f
,ir-�•�r,,. Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
J \ City of Atlantic Beach Building Department GRAY IS REQUIRED.
s
800 Seminole Rd, Atlantic Beach, FL 32233 _
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: `(�MQ
JOB ADDRESS:8ZS' SherryDr. 19-0114 PROJECT VALUE $$_100.00
`3
JEA INFORMATION REQUIRED ON ALL PERMIT$: AMPS 240 VOLTS 1 PHASE
❑ NEW SERVICE: ❑Overhead pUnderground []Underground up Pole
oResidential (Main)Service:
❑0-100 amps 0101-150amps E1151-200amps damps #of Meters
[]Commercial (Main)Service:
❑0-100 amps 0101-150amps 13151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
1D-100 amps 0101-150amps [1151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: 60 amps
SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps OCT 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
❑Dther: updated 10117118
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.
Owner Name: Shouppe Contracting Phone Number: (702)480-9344
Electrical Company: Beaches Electrical Service Inc. Office Phone: (904)6293192 Fax:
Co.Address: 214 Cokesbury Ct City: GCS State: FL Zip: 32043
License Holder: Todd Lockwood ification/Registration#: ER0013172
Notarized Signature of License Holder. ✓��
The foregoing instrument was acknowledged before me this y of 2 n th Stat of Florida County of
TONIGINDLESPERGER Signature of Notary Public
p MY COMMISSION#FF 924951
:.,. EXPIRES:October 5,20;9 ersonall Known OR
,= PW Y [ ] Produced Identification
Bonded Type of Identification: