245 Pine St ERES21-0288 Repair Wire to Meter CanOWNER:ADDRESS:CITY:STATE:ZIP:
SUNBEAR CAPITAL
ADVISORS LLC QA - MICHARL FAUL NEPTUNE BEACH FL 32266
COMPANY:ADDRESS:CITY:STATE:ZIP:
DEPENDENT ELECTRIC INC 8651 Feldman Rd JACKSONVILLE FL 32244
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170561 0200 SALTAIR SEC 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
245 PINE ST ELECTRICAL RESIDENTIAL Repair service wire from
meter can to panel $500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
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
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
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: 12/3/2021
PERMIT NUMBER
ERES21-0288
ISSUED: 12/3/2021
EXPIRES: 6/1/2022
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 12/3/2021
PERMIT NUMBER
ERES21-0288
ISSUED: 12/3/2021
EXPIRES: 6/1/2022
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
ERES21-0288 Address: 245 PINE ST APN: 170561 0200 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: R18190 $94.00
Printed: Friday, December 3, 2021 1:52 PM
Date Paid: Friday, December 03, 2021
Paid By: DEPENDENT ELECTRIC INC
Pay Method: CREDIT CARD 555038287
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18190
Electrica! Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL32233
Phone: (904) 247 -5826 Email: Bu i ld i n g-Dept@ coa b. us
JOB ADDRE55; 245 Pine St, Atlantic Beach, FL32233 PROJECTVALUES$5oo'oo
JEA INFORMATION REQUIRED ON ALL ptftl!'llr$; 200 AMPS ll! VOLTS 1 PHASE
E r,rew SERVTcE:flOverheod fllJnderground lUnderground up Pole
trlResidential (Main) Service:
E0-100 amps 8101-150amps
ECommercial (Main) Service:
Eo-tooamps Etot-t5oamps
Conductor Type
EMulti-Family (Main) Service:
[10-too amps Etot-tsoamps
I rrvrpoRARY PoLE:
-amps
E senvtcE upcRADE: E_amps flCT Service amps
8151-200amps
Etst-zooamps
Size
Itst-zooamps
E-amps
f-'l amps
E-amps
3 1- 100a m ps
3 L- 1,00a m ps
61- 100a m ps
101--200a m ps
101-200a m ps
# circuits @_kw
Number of Lighting Outlets, lncluding Fixtures;
E orrr* ELE.TRT.AL PR.JECTS:
EswimmingPoollSign fJsmokeDetectors (Qty)fltransformers KVA lMotors _ HP
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT #:
# of Meters
ICT Service amps
# of Unit Meters
f, r.rew FEEDER (ADDrroNs, AccEssoRy srRucruREs, ETC.):
[100 amps fitsoamps fizooamps E_arps ftT Service _ amps
E noornoNs, REMoDELs, REpArRs, BUILD-ours, AccEssoRy sTRUCTURES, ETC:
Outlets/Switches:
Applia nces:
A/C Circuits:
Heat Circuits:
_0-30a m ps
0-30a m ps
0-60amps
! rtne ALARM SYSTEM (Requires 3 sets of plans):
Qty _ volts/amps
I neenr ns/M IscELLAN EouS:
flReplace Burnt/Damaged Meter Can Esafety lnspection Epanel Change lOH to UC
Updoted 10/17/18
Permitbecomesvoidifworkdoesnotcommencewithinasixmonthperiodorworkissuspendedorabandonedforsixmonths. lherebycertifythatlhave
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
specifiedornot. ThepermitdoesnotBiveauthoritytoviolatetheprovisionsofanyotherstateorlocal lawregulationconstructionortheperformanceof
construction.
owner rvame: Michael Faul phone Number. (904) 805-3539
Electrical Company: Dependent Electric, Inc Office Phone: (904) ee9-6608 Fax:
Co. Address: 8651 Feldman Rd City: Jacksonville StAtE: FL
EC-1 3009419License Holder:State Certification/Registration #:
Notorized Signoture of License Holder
The foregoing instrument was acknowle oe"a ifrrcme this & 0., or -l-lt ' f , 2qll in the state
nature of Notary Public
Personally Known OR I{"#
Not.ry Public Stat€ ol Flqida
JoLinda M Rowe
My Commigsion GG 185133
Ex$Gs 121$ff2021
I Produced ldentification
of ldentification:
7i^. 32244
ERES21-0288
Slri-i.c:,sf r; i iy airec kr'al cart.
Tha n k you for you r payment.
An emaiI confirmation will be sent to lolindaii,riepenciernieieclric.r,onr.
Receipt Number Payment Date
i:\,il: ',:l rltr. . :.. .i.:: r,.1 .-
Order Summary
E;]
Account 218539
l .l i 1: i.,i):\ l:ki-1..: :.
:.,irr: i) ,1.. I I .;,* a i
r.l,i.{_\. i.l li i. i: ..,1...
QUALTFYTN6 AGENT CONTRACTORS
,Account 218537
ir[,iF:]tli lfia, -illi ii,
r, tl . . i-,,;': , i rr. .. 1
CONTRACTOR- ALL TYPES
Transaction Details
Using E-Check Paid By
Srzo.oo
Ssr oo