665 Sailfish Dr ERES21-0248 Elec for Detached Garage ft..sELECTRICAL RESIDENTIAL PERMIT
PERMIT NUMBER
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(, ERES21-0248
CITY OF ATLANTIC BEACH ISSUED: 10/8/2021
// 800 SEMINOLE ROAD
';"`- ATLANTIC BEACH, FL 32233 EXPIRES: 4/6/2022
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:
Electric for: DETACHED
665 SAILFISH DR ELECTRICAL RESIDENTIAL GARAGE & ATTACHED $4000.00
PORCH
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171225 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
WADDINGTON & SON ELEC 2553 POWERS AVE JACKSONVILLE FL 32207
OWNER: ADDRESS: CITY: STATE: ZIP:
BRYCE BROWNING 665 SAILFISH DR 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 CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES aiiikark ,
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $8.40
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
Issued Date: 10/8/2021 1 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
(. City of Atlantic Beach Building Department4E
GRAY IS REQUIRED.
j) 800 Seminole Rd, Atlantic Beach, FL 32233
`"==J` Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMITUJCG21 -003k
JOB ADDRESS: Cr S SA-i ( sL L r PROJECT VALUE $ ` Cc(
JEA INFORMATION REQUIRED ON ALL PERMITS: Zoo AMPS Z."1-6 VOLTS ( PHASE
NEW SERVICE: Overhead ❑Underground ❑Underground up Pole
❑Residential (Main) Service:
❑O-100 amps 101-150amps o151-200amps ❑ amps it of Meters
❑Commercial (Main) Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps 'ACT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑O-100 amps i101-150amps D151-200amps amps #of Unit Meters
TEMPORARY POLE: amps
1 I SERVICE UPGRADE: amps CT Service amps
2 NEW/FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
ra4100amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
r 17-
I v ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: I '-r- 0-30amps 31-100amps 101-200amps
Appliances: 0-30am ps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: If circuits @ kw
Number of Lighting Outlets, Including Fixtures:
Li OTHER ELECTRICAL PROJECTS:
Swimming Pool ❑Sign riSmoke 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
❑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. 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: /aye e. . ,--01-4 'I" Phone Number:
Electrical Company: W ra dell -, /v,J �_ &(<; G. LE`!-- Office Phone: coq-- -7 /"47 ti) Fax: 'PSI; 7 3/-4 )
Co.Address: o7 S-75-3 P,, ' c.iS P�K C- City: .3-A---s4:- State: ;CZ-Zip: ;32 '7
L
License Holder: J ,4, c S j44 . w'4 c i,"1 ar`J State Certification/Registration#: j C -O cx) 7 73
Notarized Signature of License Holder �- /it" /, ^
V.--
The foregoing instrument was acknowledged before me this ' day of ,202[, in theeSS-,toQoff Florida,County of!XIV q 1�
aI ::''�.i4 , CHRISTUWGILES Signature of Notary Public C ,/,/ ✓``/4,4 I
'%. MY COMMISSION#HH 1171!3 I,
;k,1.,,? EXPIR&S:ApdI13,2020 Ii [ ] Personally Known OR[L}'1'r duced Identification
.i'i,eQ,,. BordedThruNotaryPiblklN :... Type of Identification: tL C. 1'
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