526 Atlantic Beach Ct ERES18-0363 °'' •. ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY Of ATLANTIC BEACH ERES18-0363
ISSUED: 11/5/2018
o 800 SEMINOLE ROAD
EXPIRES: 5/4/2019
ATLANTIC BEACH. FL 32233
ALL • . 1111
• • • . • E • • t • • • •
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 its
districts,state agencies,or federal agencies.
400 Amp 240 Volt UG
526 ATLANTIC BEACH CT ELECTRICAL RESIDENTIAL Service $0.00
TYPE OF ZONING: BUILDING : r
-CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
1695051410 COUNTRY CLUB UNIT02
COMPANY: ADDRESS:
TRI COUNTY ELECTRICAL 11637 E COLUMBIA PRK DR JACKSONVILLE FL 32258
OWNER: ADDRESS:
Riverside Homes of North 414 OLD HARD RD STE 502 ORANGE PARK FL 32003
Florida
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 CONDITIONS
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 NEW SINGLE FAMILY 455-0000-322-1000 400 $110.00
ELECTRICAL BASE FEE 455-0000-3221000 0 $5500
STATE ESPY SURCHARGE 455-0000-208-0700 0 $2'48
STATE OCA SURCHARGE 455-0000-208-0600 0 $2W
Issued Date:11/5/2018 1 of 2
i
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0363
800 SEMINOLE ROAD ISSUED: 11/5/2018
ATLANTIC BEACH. FL AD EXPIRES: 5/4/2019
TOTAL:$169.46
Issued Date:11/5/2018 2 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: 5DL kAta✓ -�,'C i3ecrk Copra-- PERMIT# IE-0--'S?
JEA INFORMATION REQUIRED ON ALL PERMITS OO AMPS Q'10 VOLTS PHASE
VALUE OF WORE$
NEW SERVICE ❑ 'OverheadUnderground DUnderground up Pole
Residential(Main)Service
00-100 amps 0101-ISOamps 0151-200amps amps of Meters
❑Commercial(Main)Service
00-100 amps D101-150amps 11151-200amps El-----amps ❑CTService amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps D101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole El amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100amps 0150amps ❑200araps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: j,_0-30amps 31-100amps 101-200amps
Appliances: t 0-30amps 31-I00amps 101-200=ps
A/C Circuits: 3 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 7,j _
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORE$
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑SlIaf''ety Inspection ❑Panel Change ❑OH to UG
❑Other: \jl f.e—
IU.�� (IIJrx'I
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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. II ,, -
Property Owners Name ��y�'I.D, �-Q 141,'1 GS ✓ L L C. Phone Number
Electrical Company Ly✓a/y Fjo C. Ce)n /NL Office Phone -912,(o3� Fax 52*0—S7S(
Co. Address: Il6 CAD1.1 ty0-^,�( State�Zip, r �s
License Holder(Print): Vt L• W tate Certification/Registration#ClRX1516 D
t ri• Si mature-ol'Liceme Helder
µ'r' ,••..... MY PALE day of Oa�r�b�. 20j
Sworn and subse bed b re me this 3Q
s, Notary PuhliTAMc�state m Florida
- commission w EE sssazs Signature of Notary Public
N, PV My Comm.Expires Jul s.2020
Bonded through Nallonal Nalay assn.
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