512 Viking Ln ERES22-0146 Electric Permit 'S�'ylll ,' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
,,,
.,, ,, }�> CITY OF ATLANTIC BEACH ERES22-0146
'� j ISSUED: 7/1/2022
QI 800 SEMINOLE ROAD
ft ;,i'sr ATLANTIC BEACH. FL 32233 EXPIRES: 12/28/2022
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 maybe 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:
PRIVATE PROVIDER-
512 VIKINGS LN ELECTRICAL RESIDENTIAL ELECTRIC for ROOM $3000.00
ADDITION
TYPE OF 1 REAL ESTATE BUILDING USE `
ZONING: SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
170703 0276 SEASPRAY
COMPANY: ADDRESS: ! CITY: I STATE: ZIP:
ALPHA ELECTRIC OF PONTE 299 RANCH RD PONTE VEDRA FL 32081
VEDRA
OWNER: ADDRESS: CITY: STATE: ZIP:
ENGLE JASON A ET AL 512 VIKINGS LN ATLANTIC BEACH FL 32233-4151
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 20 $12.00
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 $2.00
Issued Date:7/1/2022 1 of 2
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Electrical Permit Application **ALL INFORMATION
HIGHLIGHTEDIN' * City of Atlantic Beach Building Department GRAY IS REQUIRED.
dt:i800 Seminole Rd, Atlantic Beach, FL 32233
fir.. 'v Phone: 904) 47-5826 Email: Buildin -Det coab.us PERMIT#: RE-4-5 22
JOB ADDRESS:• 59-
Y / !(j pito S PROJECT VALUE$ jOCOO nn8
JEA INFORMATION REQUIR6N ALL PERMITS:ZOO AMPS/2O VOLTS. / PHASE
❑ NEW SERVICE: ❑ Overhead Underground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps o101-150amps o151-200amps o amps #of Meters
oCommercial (Main)Service:
❑0-100 amps o101-150amps o151-200amps n amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps c101-150amps o151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps oCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
V ADDITIONS RE►i • D _,_,, •EPAIRS, 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: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
oSwimming Pool oSign oSmoke Detectors (Qty) oTransformers KVA oMotors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can oSafety Inspection oPanel Change DOH to UG
❑Other: 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 er it does`nnot give authority to violate the provisions of any other state or local law regulation construction or the performa a of
construction. L A,_._ `� -- violat4
Phone Number:i _
Electrical Company:; C,..--i.A.),
(��"- UTP 'Office Phone: qOf?,Z (� 07 Fax:
Co.Address: n fix City:!fd l/C State: i Zip:1,7,269
License Holder:r Lc. .i14A7\-'c—w State C- ific. ion/Registration#: C_—)Z001;-.21(C_—)Z0C_—)Z001;-.21( -
)ZQ0e - r- -
//
Notarized Signature of License Holder; /(1-(4_,. '_ d / r
The foregoing instrument was acknowledged before me this ( day . .4 L1 ,2I th State of lorida,County of _QC...1
.,�,�-�::�_-----�a '�nature of Notary Public _ 0
`_,. !+;u,., TONT GINDLESPERGEP,
`4'"= MY COMMISSION#r GG 353178[( Personally Known OR[ ] Produced Identification64----
T' EXPIRES:October 6,2023 T e of Identification: --
I '•''OF d;°c` Bonded'Nu Notary Public Undervrriters�'