1646 MAIN ST ERES21-0259 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r ,� '�, ERES21-0259
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 11/2/2021
ATLANTIC BEACH. FL 32233 EXPIRES: 5/1/2022
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:
1646 MAIN ST ELECTRICAL RESIDENTIAL ELECTRIC A/C CIRCUITS $600.00
AND PANEL CHANGE
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172385 0080 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
Jimmy's Electric LLC 526 11th Avenue North Jacksonville Beach FL 32250
OWNER: ( ADDRESS: CITY: STATE: 1 ZIP:
WINKFIELD JEREMY 526 10TH AVE N JACKSONVILLE FL 32250
BEACH
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-3224000 0 $5.00
ELEC HEAT 455-0000-322-1000 0 $2.00
ELEC REPAIRS AND MISC 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
Issued Date:11/2/2021 1 of 2
Electrical Permit Application ��� r` **ALL INFORMATION
S'' HIGHLIGHTED IN
. City of Atlantic Beach Building Department
f `
i', 800 Seminole Rd, Atlantic Beach, FL 32233 GRAY IS REQUIRED.
ERESZ.
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: I 'Oz5C:t
JOB ADDRESS: I(r t) -L V.--- PROJECT VALUE $ E /7CF)0
JEA INFORMATION REQUIRED ON ALL PERMITS:- AMPS,2(-(C VOLTS ( PHASE
T I NEW SERVICE: Overhead Underground Underground up Pole
°Residential (Main) Service:
°0-100 amps 101-150amps o151-200amps amps #of Meters
°Commercial(Main) Service:
❑0-100 amps .101-150amps [;151-200amps :_i amps r;CT Service amps
Conductor Type Size
;Multi-Family(Main) Service:
❑O-100 amps 101-150amps x151-200amps ri amps #of Unit Meters
r ' TEMPORARY POLE: amps
SERVICE UPGRADE: anip -CTService amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
°100 amps :150amps 200amps _ amps CT Service amps
Li ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200am ps
A/C Circuits: t 0-60amps 61-10oamps
Heat Circuits: ( # circuits @ (0 kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
r;Swimming Pool Sign Smoke Detectors _(Qty) ❑Transformers KVA Motors HP
L-_-] FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty_ volts/amps
REPAIRS/MISCELLANEOUS:
(((( ___��� ,_;Replace Burnt/Damaged Meter Can °Safety Inspection Panel Change t;OH to UG
;_lather: 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: 3-:- -'t. -. fes..-1--t J ...-ed Phone Number: (—c/6-- 6070,f/1
/L/
Electrical Company:- 7kkLt\ i%T l ft. Office Phone: cfbf [ l . 5 7 Fax:____
Co.Address: 1---24f (7 c,t.-2 00, City: Zj/l-' /3 C4-- State: lip: 3,2�y2�
License Holder: ilr�>c 5 i f ttq I11°f State Certification/Registration#: //(5 G: �,-0 "
Notarized Signature of License Holder
The foregoing instrument was acknowledged fore me isZday of 4 0—� n the State of Florida,County o� ti V"C1-.'
Signature of Notary Public 0 001.
;;r%e ., T:: 1 G:NDLESPERGER ' )sonally Known OR I ] Produced Identification
" ."I •-1 MY CJ,`1MISStON#GG 353178 Type of Identification:
.,..,, ,r EXPIRES:October 6,2023
"'`FOFr;;?'', 8er:dee Thr Nctarl Pubic Underwriters