1951 Beach Ave ERES17-0016 electrical permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0016
Description: RELOCATE EXISTING LIGHTING &ADD CIRCUIT
Estimated Value: 0
Issue Date: 5/12/2017
Expiration Date: 11/8/2017
PROPERTY ADDRESS:
Address: 1951 BEACH AVE
RE Number: 169695 0000
PROPERTY OW NER:
Name: FLEMING MATTHEW DAVIS
Address: 1951 BEACH AVE
ATLANTIC BEACH, FL 32233-5936
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ALL AMERICAN ELECTRICAL OF NORTH FLORIDA
Address: 4541 St Augustine RD STE 4
JACKSONVILLE, FL 32207
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
Cash Register Receipt Receipt Number
10 City of Atlantic Beach R1543
DESCRIPTION
PermitTRAK $99.60
ERES17-0016 Address: 1951 BEACH AVE APN: 169695 0000 $99.60
ELECTRICAL $95.60
ELECTRICAL BASE FEE 455-0000.322-1000 0 $55-00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 51 $30.60
FIXTURES
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $10.00
STATESURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.ao
STATE DCA SURCHARGE 455-0000-208-0]00 0 $2.00
TOTAL . 1
Date Paid: Friday, May 12, 2017
Paid By:ALL AMERICAN ELECTRICAL OF NOR
Cashier: CT
Pay Method: CREDIT CARD 144073
Printed:Friday,May 12,2017 4:23 PM 1 of l
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
X015) ,�,eoch`904'2( I V�26 Fax(904)247-5845 —PERMIT#
JOB ADDRESS: (�/'�J�,
IEA INFORMATION REQUIRED ON ALL PERMITS AMPS �.vOLTS PHASE
V UE OF R%$ ZI.C./LJ
NEW SERVICE El Overhead Underground D Underground up Pole
❑Residential(Main)Service
00-100 amps 1 :101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Maio)Service
110-100 amps 0101-150amps D151-200amps ❑ amps ❑CTService_amps
Conductor Type Sim
❑Multi-Family(Main)Service
❑O-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ emps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps i 1200amps []_____amps ❑CT Service_amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switch": LO-30amps 31-I00amps 101-200amps
Appliances: 0-30anps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits Q k
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty OTronsformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 seta of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/D�a,mLaged Meter Can [I Safety Inspection i ]Panel Change ❑OH to UG
hN >°w_, � l l to _!M cA �n CIrc�,u+s raw
❑Gther:�r. fi.
Pemdt becomes void if work does not mance within a six month paned or work is suspended or abandoned for six months. I hereby cerd that I have
read this applicant and know the same to be one and conect. 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 pmvisions of any other state or local law mgulaion constmetion or the performance of
construction.
Property 0wnersNamd 1'(�/gLI,- i1 VV t6\4S GMII'(A PhoneNumber
Electrical Comp , ri ' �' I�� ce Phon J1 15 Fax
Co.Address: City�Ir Stag��a pZiI � 7�
License Holder(Print): State Certification/Registration#W 1..0 n:)i
Notarized Signature ofLicense Holder
pSworn and subscribed before 's ay of 20LI
"'sERICAN HUFFMAN
`. MV COMMISSION#Fraa,7, pa�of Notary Public
EXPIRES April 11,2020
(,Orl MBL19
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