1946 Beach Ave ERES19-0142 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
TRUB RICHARD GIBSON 1946 BEACH AVE ATLANTIC BEACH FL 32233-5937
COMPANY:ADDRESS:CITY:STATE:ZIP:
EXCEED ELECTRIC, INC.5290 FLORAL BLUFF COURT JACKSONVILLE FL 32211
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169542 0598 BEACHSIDE
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1946 BEACH AVE ELECTRICAL RESIDENTIAL
200 amps/240 volts/1st
phase - add outlets, switche-
Renewed
$2500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 10 $6.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $4.80
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
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: 5/21/2019
PERMIT NUMBER
ERES19-0142
ISSUED: 5/21/2019
EXPIRES: 3/18/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $69.80
2 of 2Issued Date: 5/21/2019
PERMIT NUMBER
ERES19-0142
ISSUED: 5/21/2019
EXPIRES: 3/18/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ALL INFORMATION
Electrical Permit Application HIGHUGHTEDIN
City of Atlantic Beach Building Department GRAY 15 REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 tR.ES 19-
y4
0 N.),
Phone: (904) 247-5826 Email: Build i ng-Dept2 coab.us PERMITM: RFSg /9- CC5
JOB ADDRESS: /Ryb deaCA Ove- PROJECT VALUE$ 14500
JEA INFORMATION REQUIRED ON ALL PERMITS:—tg AMPS 110 VOLTS / PHASE
NEW SERVICE: o Overhead ounderground Underground up Pole
oResidential(Main)Service:
00-100amps 101-150amps 0151-200amps o_amps If of Meters_
c6ommercial(Main)Service:
mps oCT Service amps..
0o-100amps 0101-150amps 0151-200amps o_a
Conductor Type Size
oMultl-Family(Main)Service:
nO-100 amps o101-150amps o151-200amps o_amps pof Unit Meters_
TEMPORARY POLE:_amps
SERVICE UPGRADE: o_amps oCT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
o100amps u150amps o200amps o_amps DCTService_amps
ADDITIONS, RENT LS,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: _It circuits @_kw
Number of Lighting Outlets, Including Fixtures: t_
OTHER ELECTRICAL PROJECTS:
o5wimming Pool oSign o5moke Detectors_(Qty) oTransformers KVA oMotors_HP
FIRE ALARM SYSTEM(Requires 3 sets of plans):
QTY volts/amps
REPAIRS/MISCELLANEOUS:
oReplace Burnt/Damaged Meter Can o5afety Inspection oPanel Change OH to UG
Updoted to/v/ta
oOther
Permit becomes void if work does not commence within a six month period or work is suspended rabandonedf
th Ih by certify that I h ave
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
glif
ive authority to violate the provisions of any other state or local law regulation construction or the performance of
constructionOwnerName: 1. A 1>./ C/J/I phone Number:
Electrical Company: E Ce Gn//Y/f
Office Phone: 40N 77 6L9 Fax:
Co.Address f"T Foe1'6 /) )w) 19 C- City: /6LiI(ld11 rLk State:_zip:,IZ211
Ucense Holder: I i'
G q/
State Certification/Registration p: F C'/30//11 q
Notarized Signature ofacense
in the State of Florida,Count of J_
The foregoing instrument was acknowledged before me this.day of 20' y
Signature of Notary Public_
JENNIFER JOHNSTON 1 personal) Known OR IL}4roduced IQenlifLcaCoFp
HVCOMNIssIONOCG0420a4 Type of Identifications r J lif LAS L.
EXPIRES:October 27,2020
Y' eanaearnu naary P biic um:mnlers