811 Paradise Ln TEMP21-0017 PP Temp Pole f"'''r+eELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
'J TEMP21-0017
CITY OF ATLANTIC BEACH
\s ISSUED: 6/15/2021
. 800 SEMINOLE ROAD
<L-on ATLANTIC BEACH. FL 32233 EXPIRES: 12/12/2021
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:
811 PARADISE LN ELECTRICAL TEMP POLE PRIVATE PROVIDER $200.00
INSPECTIONS -TEMP POLE
TYPE OF REAL ESTATE ! ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
172376 0160 PARADISE PRESERVE
COMPANY: ADDRESS: CITY: STATE: ZIP:
MARCO ELECTRICAL
CONTRACTORS 570 MILL CREEK ROAD JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
SPRINGFIELD BUILDERS LLC 13846 ATLANTIC BLVD #204 JACKSONVILLE FL 32225
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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.
FEES
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:6/15/2021 1 of 2
Electrical Permit Application ...ALL INFORMATION
f ,t A. HIGHLIGHTED IN
t y r
,i City of Atlantic Beach Building Department Y IS REQUIRED.
� 800 Seminole Rd, Atlantic Beach, FL 32233 , �(Y��z1( s ,;11 - co-77
.��,'�)';_ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: ST> ) I PGv c (_� lsc, VS_if PROJECT VALUE $ 4)3-2,
43 I
JEA INFORMATION REQUIRED ON ALL PERMITS: (J° AMPS VOLTS PHASE
El NEW SERVICE: 0 Overhead OUnderground ()Underground up Pole
atesidential(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
DCommercial(Main)Service:
00-100 amps 0101-150amps 0151-20Oamps ❑ amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
DJ-100 amps 0101-150amps 0151-20Oamps El amps #of Unit Meters
.0 TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps OCT Service amps
❑ NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 020Oamps ❑ amps OCT Service amps
0 ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200am ps
Appliances: 0-30amps 31-100amps 101-2O0amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
El OTHER ELECTRICAL PROJECTS:
❑Swimming Pool❑Sign l3moke Detectors (Qty) ❑Transformers KVA ❑Motors HP
❑FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑REPAIRS/MISCELLANEOUS:
QReplace Burnt/Damaged Meter Can ❑Safety Inspection EJ anel Change ❑OH to UG
:Other: Updated 10/17/18
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. Thgpermit does not give authorL violate the provisions of any other state or local law regulation construction or the performance of
construction. C
Owner Name: I t 4' �\ C kr 1 Phone Number:
` {{ c �1� `�y3- yea
Electrical Company: ,,�� V tX l L-tY I c-s C'<r Office Phone: '1 1-�3" "3 3 Fax:
Co.Address: ��C.J �! t` k vc�c City �S' .- 1 t tc State: Zip: 3 33 1 i
License Holder: M
,ctir .-_ C. l-+L-- S e Ce ific tion/Registration#: -EC--(30(') <D, I e
Notarized Signature of License Holder „,..--,c"'''_ i
ged bef a me this-I day orN-Y- "-Q ,20 :LJ, in the State of Florida,County of vrt 1
.x" BONNEL! W.CRAIG �.
'� t6c, �L iS 0
MY COMMISSION#GG 248197 Signature of Notary Public v ,..�
P EXPIRES:Drq.ember 11.2022 (\
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