1205 Hibiscus St ERES22-0002 Elec for Detached Garage, Guest RoomOWNER:ADDRESS:CITY:STATE:ZIP:
HUTCHCRAFT WILL J 1205 HIBISCUS ST ATLANTIC BEACH FL 32233-2609
COMPANY:ADDRESS:CITY:STATE:ZIP:
Tyndall Electric 4615 Calendula Avenue Middleburg Fl 32068
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171058 0100 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1205 HIBISCUS ST ELECTRICAL RESIDENTIAL Elec for: DETACHED GARAGE
& GUEST ROOM $4500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $2.00
ELEC HEAT 455-0000-322-1000 0 $2.00
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 8 $4.80
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
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: 1/6/2022
PERMIT NUMBER
ERES22-0002
ISSUED: 1/6/2022
EXPIRES: 7/5/2022
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $107.80
2 of 2Issued Date: 1/6/2022
PERMIT NUMBER
ERES22-0002
ISSUED: 1/6/2022
EXPIRES: 7/5/2022
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
L____I ____JI
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $107.80
ERES22-0002 Address: 1205 HIBISCUS ST APN: 171058 0100 $107.80
ELECTRICAL $103.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $2.00
ELEC HEAT 455-0000-322-1000 0 $2.00
ELEC LIGHTING OUTLETS, INCLUDING
FIXTURES 455-0000-322-1000 8 $4.80
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: R18430 $107.80
Printed: Thursday, January 6, 2022 10:21 AM
Date Paid: Thursday, January 06, 2022
Paid By: Tyndall Electric
Pay Method: CREDIT CARD 570992218
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R18430
~+; CENTRALSQUARE
Electrical Permit Application ·•ALL INFORMATION HIGHLIGHTED 1N
City of Atlantic Beach Building Department GRAY 1s REQUIRED. 800 Seminole Rd,
Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Build111g 0<:.iH. )coab.u<.> PERMIT 11: ACC 2 l:{))53JOB
ADDRESS: 1205 t-hbl~w~ ~-t. vH\o..n+ic BexhPlt>ROJECTVALUE$ 4,soo -~
1322.3'3
JEA INFORMATION REQUIRED ON ALL PERMITS: (00 AMPS 1~ VOLTS $lllj(. PHASE
NEW SERVICE: o Overhead ~Underground □Underground up Pole
□Residential (Main) Service:
q(!0-100 amps □101-lS0amps ol51-200amps □ \90 amps II of Meters_\ __ □Commercial (Main)
Service:
ci,0-100 amps □101-lS0amps o151-200amps □ \~0 amps □CT Service ___ amps Conductor
Type _______ Size _____ _
□Multi-Family (Main) Service:
□0-100 amps □101-lS0amps ol51-200amps □. ___ amps II of Unit Meters ___ TEMPORARY POLE:
___ amps
SERVICE UPGRADE: o ___ amps □CT Service ___ amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
(fl.00 amps olS0amps o200amps □-\~•.:..o __ amps □CT Service ___ amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: lt. 0-30amps ___ 31-lO0amps ___ 101-200amps
Appliances: l 0-30amps ___ 31-100amps ___ 101 -2 00amps
A/C Circuits: ___ 0-60amps ___ 61-100amps
Heat Circuits: ' ff circuits @ ___ kw
Number of Lighting Outlets, Including Fixtures: _i __ _
OTHER ELECTRICAL PROJECTS:
□Swimming Pool □Sign t\lSmoke Detectors 1-(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: GA!A~ A-t)O; h' ,,,J
Updated 10/17/18
Permit becomes void If work does not commence within a six month period or work Is sus pended or abandoned for six months. I hereby certify that I hav e
read this application and know the same to be true and correct. All provisions of laws and ord i nances governlnB this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other stale or local law regulation construction or the performance of
construction. U T-(?\ L C
Owne, Name, Cha.i:1; C T~afu.,(.l~ymbe" ( ~(. 630-Cf 21., 5 ~ ;"' eUlv/j~w_ ~2..0L,, I('
Electrical Company: Office Phone:_ Fa,c::Co':-.~?,.,., 1ty,~81,;\-le..~£i.,:;5 0 / State ~.,,;,;,~~p/Reglst'!t,n :/1,,
#: NotarlzedSfgnatureo/LfcenseHolder ~ £ ~ f3e,11j A-mtJ l:'dwR'tA "1
The foregoing Instrument was acknowledged before me this.5 day ~1')\11.C\ r 1J 2~ In the State of Florida, County of fu VO.. \
Signature of Notary Public ~ W ~
)(Personally Known OR [) Produced Identification r ~-~~ BONNELL W. CR/I:'"-"'~.,..:?.,.., ~(Jr.\} MYCOMMISSION#GC •s ,
.J~~;f EXPIRES:Deccmbe r ;· ,;·,2
'•,~:?f.~~?.•" OontJcd Thru Notary PublJ.. : • • ,•,TI!OIS
:-u .. ~ •·:, "·;~-