122 6th Street ERES22-0073 Electrical Permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
» CITY OF ATLANTIC BEACH ERES22-0073
800 SEMINOLE ROAD ISSUED: 3/30/2022
-2 ATLANTIC BEACH. FL 32233 EXPIRES: 9/26/2022
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT ISTH EDITION1 OF • ' • • BUILDING
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF 1
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:
122 6TH ST ELECTRICAL RESIDENTIAL ELECTRICAL FOR REMODEL $1200.00
AND PANEL CHANGE
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170149 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
S &G ELECTRICAL 2140 NICKERSON LN JACKSONVILLE FL 32207
CONTRACTOR LLC
• ADDRESS:
NOLL CANDICE 122 6th ST 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 . r
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEL REPAIRS AND MISC 4550000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DERR SURCHARGE 4550000208-0700 0 $2,00
STATE DCA SURCHARGE 4550000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date:3/30/2022 1 of 2
�075Z2 -0033
ION
Electrical Permit Application HIGHLIGHTED
IN
Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (90�44u)� `247-58'26 Email: Building-Deot@coab.us PERMIT#: ERES2Z-0073
JOB ADDRESS:1 2.Z 6Th 7T PROJECT VALUE$ OT O
JEA INFORMATION REQUIRED ON ALL PERMITS: 2U0 AMPS 2 k VOLTS PHASE
❑ NEW SERVICE: o Overhead oUnderground oUnderground up Pole
oltesidential(Main)Service:
oO-SOOamps o101-150amps o131-200amps ❑ amps If of Meters_
oCommercial(Main)Service:
❑O-100amps 0101-I50amps o1S1-200amps ❑_amps oCTService_amps
Conductor Type Size
ollulti-Family(Main)Service:
o0-100amps 0101-150amps 0151-200amps damps #of Unit Meters
❑TEMPORARY POLE: amps
❑ SERVICE UPGRADE: scamps oCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
,,.
./❑100amps o150amps o200amps ❑ amps oCTService_amps
P,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: g circuits Dkw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
oSwimming Pool oSign oSmoke Detectors (Qty) oTransformers KVA ❑MotorsHP
❑ FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty votes/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety InspectionanO Change ❑OH to UG
uOther: Updated 10/17118
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: NoLL Carrndi tt' 11 ��/b, Phone Number: 4N—N;y- x2re
Electrical Company: S i G 9 ueitY�C0.l /OV1+tce,6Ltkce Phone: 9)Cd�09"C26'aax:
Co.Address: 111 Uta oj%,V tYCc N L N City: ck A State:Pt Zip:
License Holder: State Certification/Registration#:
Notarized Signature of lkense Holder
The foregoing instrument was acknowledged before me thano Dz�in trus of Florida,County of 1\
Signature of Notary Public
TONI GINDLESPERGER
Personally Known OR( I Produced Identification
MV COMMISSION#GG 353778Type of ldentificatlon: t ./
BendeOThm Napa Pub0c Urdmrtv.af EXPIRES:Odober6,2023
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