606 Coastal Oak Ln TEMP19-0027 temporary pole permit PERMIT NUMBER
ELECTRICAL TEMP POLE PERMIT
CITY OF ATLANTIC BEACH TEMP19-0027
J 8ISSUED: 9/16/2019
00 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 3/14/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
iALL WORKCONFORM i THE CURRENT 6TH EDITION1 OF • '
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
40TICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
hat may be found in the public records of this county,and there may be additional permits required from other
;overnmental entities such as water management districts, state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
606 COASTAL OAK LN ELECTRICAL TEMP POLE TEMP POLE $1200.00
OF •
ZONING: :D •
• • GROUP:
169505 2010 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
HAPPY CAT ELECTRIC INC. 3787 CATANIA PL JACKSONVILLE FL 32224
OWNER: ADDRESS:
DAVID SCOTT ARNOLD 3528 VALVEREDE CIRCLE JACKSONVILLE FL 32224
YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
:OMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
NSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
kTTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
i
toll 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 EEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date: 9/16/2019 1 of 2
f' 17ri�, ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
s�, CITY OF ATLANTIC BEACH TEMP19-0027
800 SEMINOLE ROAD ISSUED: 9/16/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/14/2020
Issued Date:9/16/2019 2 of 2
„__•,,fi w.lrVro 8%.%A9 l %Wo wool% . . .....��..,.. HIGHLIGHTED IN
City Of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 SPI � — v��Z7
7J)
Phone: (904) 247-5826 Email: .Building-Dept@coab.us PERMIT#* �Es19. Zoe
3 ADDRESS: 606 Coastal Oaks Lane 32233 PROJECT VALUE $ 1200.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
❑ NEW SERVICE: C3 Overhead ❑Underground ❑Underground up Pole
E311esidential (Main)Service:
❑0-100 amps E1101-150amps E3151-200amps []_a rn ps #of Meters 1
[]Commercial (Main) Service:
❑0-100 amps 13101-150amps 13151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑3-100 amps 0101-150amps [3151-200amps ❑ amps # of Unit Meters
.17 TEMPORARY POLE: 50 amps
71 SERVICE UPGRADE: ❑ amps OCT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
[]100amps ❑150amps ❑200amps ❑ amps OCT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: vN�
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps v
A/C Circuits: C-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
❑)ther: Updated 10/17/18
-'ermit 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: David Arnold Phone Number: 904-716-4734
Electrical Company: Happy Cat Electric Office Phone: 904-716-4734 Fax:
Co.Address: 3787 Catania Place City: Jacksonville State: FI Zip: 32233
License Holder: Rob Lassetter State Certification/Registration#: EC0001105
Notarized Signature of License Holder'
T � me this I day of 20/q in the State of Florida, County of
ANGELICA SAN7FIorldat
ature of Notary Public
Notary Public-StaMy Comm.Expires Oct gal,2011Personally Known OR [ ] Produced Identification
0, Commission FF 041129
sh Register Receipt Receipt Number
�2 •
City J 'N
of
Beach • ' •
DESCRIPTION ACCOUNT QTY •
AID
PermitTRAK $223.00
ERES19-0262 Address: 606 COASTAL OAK LN APN: 169505 2010 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TEMP19-0027 Address: 606 COASTAL OAK LN APN: 169505 2010 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R10286
11
Date Paid: Monday, September 16, 2019
Paid By: HAPPY CAT ELECTRIC INC.
Cashier: CT
Pay Method: CREDIT CARD 10
Printed: Monday,September 16,2019 3:02 PM 1 of 1