724 Amberjack Ln ERES21-0089 electrical safety permitOWNER:ADDRESS:CITY:STATE:ZIP:
SHARPE FAMILY
INVESTMENTS LTD 100 CYPRESS LAGOON CT PONTE VEDRA FL 32082-2106
COMPANY:ADDRESS:CITY:STATE:ZIP:
A ADVANTAGE ELECTRIC
INC 4200 CR 218 MIDDLEBURG FL 32068
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171127 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
724 AMBERJACK LN ELECTRICAL RESIDENTIAL 125 amps/240 volts/first
phase - safety inspection $500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 4/8/2021
PERMIT NUMBER
ERES21-0089
ISSUED: 4/8/2021
EXPIRES: 10/5/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $109.00
2 of 2Issued Date: 4/8/2021
PERMIT NUMBER
ERES21-0089
ISSUED: 4/8/2021
EXPIRES: 10/5/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
t L,i,. Electrical Permit Application ALL INFORMATION
HIGHLIGHTED IN
ii—r City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
74,:n,19.,--Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT4f:
i JOB ADDRESS: 12 Li- 11 vv1b e t1 A, jr___(_G ,."1...re___ PROJECT VALUE$ -^r, , C2 fl,
JEA INFORMATION REQUIRED ON ALL PERMITS: 1 '2 S AMPS 24.610 VOLTS I PHASE
NEW SERVICE: n Overhead Underground Underground up Pole
oResidential (Main)Service:
0-100 amps o101-150amps o151-200amps amps of Meters
Commercial (Main) Service:
0-100 amps o101-150amps o151-200amps n amps CT Service amps
Conductor Type Size
nMulti-Family(Main)Service:
0-100 amps D101-150amps n151-200amps n amps of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: ' amps i CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps u150amps i I200arnps amps nCT Service amps
E. 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:
I-1 OTHER ELECTRICAL PROJECTS:
Swimming Pool r'Sign nSmoke Detectors Qty) oTransformers KVA nMotors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps—
REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can &35fety Inspection Panel Change uOH to UG
uOther:
updated/19/17/m
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 thame to be true an or ect. All provisi 9 s of ws and ordinances governing this work will be complied with wheth r
specified or not. The permit doe;+not iv thority t+ipl h r isi iie of other state or local law regulation constructs f.74e...3rforc o24
construction.Owner Name: Airj i PhoneNumber:•92___
Electrical Company: A ,-ivago [-:--7,-, 44-Office Phone: Fax:
Co.Address: Lf7 ) 6:2 p2/ City: ml, a vi State:Zip:
License Holder: P A ..iv t,State Certification Registration#: V9 '
Notarized Signature of License Holder
i __--
C(.v 4 -- NW 1 ,
The foregoing instrument was acknowledged before me this day of
t • , ( ,206\,in the State of Florida,County of Alv at'
Signature of Notary Public A t -
JENNIFER JOHNSTON
MY COMMISSION 8 HH 057579 Personally Known OR[ ro uced Identification
4.1-.g.: EXP IIRRES:Oclpber27,
A2024
Type of Identification: u Q (0 (.c! aFO.F FLOC Bondedi 11Y Notary Pubic Under* .c$
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $109.00
ERES21-0089 Address: 724 AMBERJACK LN APN: 171127 0000 $109.00
ELECTRICAL $105.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
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: R15463 $109.00
Printed: Thursday, April 8, 2021 12:55 PM
Date Paid: Thursday, April 08, 2021
Paid By: A ADVANTAGE ELECTRIC INC
Pay Method: CREDIT CARD 442276552
1 of 1
Cashier: JJ
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R15463
