2093 BEACH AVE ERES22-0117 [ ._ 1
-s'''',/,,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
7s'-','s,
CITY OF ATLANTIC BEACH ERES22-0117
800 SEMINOLE ROAD ISSUED: 5/19/2022
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ATLANTIC BEACH. FL 32233 EXPIRES: 11/15/2022
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:
2093 BEACH AVE ELECTRICAL RESIDENTIAL PRIVATE PROVIDER $30000.00
UPGRADE ELECTRIC SERVICE
TYPE OF REAL ESTATE BUILDING USE
CONSTRUCTION: ; NUMBER: ZONING: GROUP: SUBDIVISION:
169720 0000 NORTH ATLANTIC BCH
UNIT 3
COMPANY: ADDRESS: CITY: STATE: ZIP:
WADE'S ELECTRIC SERVICE 760 Pleasure Bay Dr JACKSONVILLE FL 32225
OWNER: ADDRESS: CITY: STATE: ZIP:
TURNER MICHAEL D 1270 EAST COAST DR ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\
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 SERVICE CHANGE 455-0000-322-1000 400 $130.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 555.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.78
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$189.78
Issued Date:5/19/2022 1 of 2
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Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
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City of Atlantic Beach Building Department GRAY IS REQUIRED.
ill
800 Seminole Rd, Atlantic Beach, FL 32233
ERESZZ-Ot ( 7
.`""'r Phone: (904) 247�-5,i 82,6 Email: Building-Dept@coab.us PE IT#: PPg/ I
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JOB ADDRESS: 269'3 ,Baxc1 /we. PROJECT VALUE$ Plir:-. 4(3/ C
/. JEA INFORMATION REQUIRED ON ALL PERMITS:`{ e0 AMPS 294 VOLTS ( PHASE
❑ NEW SERVICE: ❑ Overhead oUnderground DUnderground up Pole
❑Residential(Main)Service:
❑O-100 amps ❑101-15Oamps ❑151-2OOamps ❑ amps #of Meters
❑Commercial(Main)Service:
❑O-100 amps ❑101-150amps ❑151-2OOamps ❑ amps ❑CT Service amps
Conductor Type Size
nMulti-Family(Main)Service:
❑O-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
,
SERVICE UPGRADE: ❑ gob amps DCT Service amps
❑ NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps ❑150amps ❑200amps ❑ amps DCT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:0
Outlets/Switches: Lt 0-3Oamps 31-100amps 101-200amps
Appliances: 1 0-3Oamps ;3 31-100amps 101-2OOamps
A/C Circuits: 0-6Oamps 61-100amps
Heat Circuits: # circuits @ kw �O
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
❑Swimming Pool Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter C4ti ❑Safety Insp ction ❑Panel Change DOH to UG
❑Other: 2--.— ) C Af) 0 r<[_Cci1/( s 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
I
construction. nn i
Owner Name: I'i fx.e 0,o /e V fl - Phone Number: I
Electrical Company: te)� L co/C C ffice Phone: (TO 4) 813 -SK?-i Fax tl J u/'�
Co.Address: 7 60 P((Gs rC y 12rN City: TZ4A— State: Pt. Zip: ?2Z 7---C
License Holder: h/Ctc4 e 1(4—feliAn State Certification/Registration#: C—/ 3oo/S 3g
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this / day of he a , 21 ..d the Stat of Florida,County of Loy,"
I
Signature of Notary Public •
iR`•''YPV TONI GINDLESPERGER
,•+ •:,: MY COMMISSION#GG 353178 i-15-ersonally Known OR[ ] Produced Identification
''.>:',..-'%•••47F EXPIRES:October 6,2023 Type of Identification:
.P',!:°'' Bonder ThruNotary Public Underwriters
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