960 Paradise Cir TEMP20-0001 Temp ;1 :', ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
"" CITY OF ATLANTIC BEACH TEMP20-0001
, IF 800 SEMINOLE ROAD ISSUED: 1/8/2020
2111.) V ATLANTIC BEACH. FL 32233 EXPIRES: 7/6/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
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:
960 PARADISE CIR ELECTRICAL TEMP POLE TEMP POLE $100.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: , NUMBER: GROUP:
172376 0085 PARADISE PRESERVE
COMPANY: ADDRESS: CITY: STATE: ZIP:
APPLE ELECTRIC, INC 2001 3RD ST NEPTUNE BEACH FL 32266
OWNER: ADDRESS: j CITY: STATE: I ZIP:
BOB CHRIS LLC 355 11TH 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 CON 6��:
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 0 $2.00
TOTAL: $94.00
Issued Date: 1/8/2020 1 of 2
r1,.. i`% ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH TEMP20-0001
\'� j 800 SEMINOLE ROADISSUED: 1/8/2020
-,o;sl>%
ATLANTIC BEACH. FL 32233 EXPIRES: 7/6/2020
Issued Date: 1/8/2020 2 of 2
5=4%.1r� Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
f \"' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 5 19 -p 3�s
-40;09/ Phone: (904) 247-5826 Em • B =i N-, e. .@c
`� ail. _lll�l.n._ _,a�,�ccoa .us PERMIT#: (C—.mP70- 000
JOB ADDRESS: L{ 6 L� PMR,4 �s E 00C/- PROJECT VALUE$ 1 0 C� °
JEA INFORMATION REQUIRED ON ALL PERMITS: 10 b,-.;VIPS,vaVOLTS / PHASE
I I NEW SERVICE: 0 Overhead . Z„derground ❑Underground up Pole
u1Aesidential(Main)Service:
00-100 amps 0101-150amps -4".c:” -2.00am s
p 0 amps #of Meters /
❑Commercial(Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
DMulti-Family(Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
( TEMPORARY POLE: J4 amps
❑SERVICE UPGRADE:❑ amps OCT Service amps
n NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 1:1200amps ❑___am s
p OCT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps • 31-100amps 101-200am s
A/C Circuits: 0-60amps 61-100amps p
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
ri OTHER ELECTRICAL PROJECTS:
['Swimming Pool❑Sign ❑Smoke Detectors (Qty) ❑Transformers
KVA ['Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
DReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
:Other:
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
>ad 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
)ecified 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
instruction.
wner Name: ob e..k,:t
Awl
Phone Number:
ectrical Company: elic7ii2ye LLL 9 Oy '3.3y-937 C'
Office Phone: ) Fax:
3.Address: 2-00/ 34, „S -
City: /kPl-t t' grim State:FL Zp:32 Ue(
cense Holder: &4 2 J 5.i.FLUS
State Certification/Registration#:LT,e /.3d/ Y 3 51
Dtarized Signature of License Holder I -De/1j>
ie foregoing instrument was acknowledged before me this da of -3.--AJ U
- - - - - - y ,20 Z in the State of Florida,County of f7c��,9 L
is. Notary PublleSta�of Florida Signature of Notary Public -0
Beverly K Elias
My Commission GG 315109
Expires 04/12/2023 ] Personally Known OR [ 1 Produced Identification
"o Type of Identification: