1580 Beach Ave electrical permit y
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: ERES17-0039
Description: 200 amps/240 volts/single phase-replace meter can
Estimated Value: 0
Issue Date: 6/13/2017
Expiration Date: 12/10/2017
PROPERTY ADDRESS:
Addresee 1580 BEACH AVE
RE Number: 1718750000
PROPERTYOWNER:
Name: Diane March
Address: 1580 Beach Avenue
Atlantic Beach, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AMERICAN ELECTRICAL CONTRACTOR
Address: 5065 ST AUGUSTINE RD APT 13 5065 ST. AUGUSTINE RD#13
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 5
JOBADDRESS: V�90 RearA,-, J:)(je . PERMIT#
JEA INFORMATION REQUIRED ON ALI,PERMITS DO 0 AMPS ";Ab VOLTS PHASE
VAL UE OF WORK$
NEW SERVICE 0 Overhead Underground D Underground up Pole
FIResidendid(Main)Service )Q
LJO-100 amps �jlol-150arnpe 151-200hamps j amps #of Meters
Commercial(Main)Service
20-100 amps [1101-150amps 151-20omps 0_____amps OCT Serviosamphs;
Conductor Type_ Size
ElMulti-Famaily(Main)Service
DO-100"a [7,101-150ampes 151-200amps L_____amps #of Unit Meters
FlTemporary Pole F amps
SERVICE UPGRADE 1 1- --------AMPS CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
F1100arrups 7150annins, F200amps - amps ICTSmvice __,_mps
ADDITIONS,REMODELS,REPAIRS,BUELD-OUTS,ACCESSORY STRUCTURES,ETC.
Outtlets/Switches: 0-30amps 31-100amps —101-200amps
Appliances: 0-30amps 3 1-1 00amps —101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
ESwimmingPool OSiga E.Smoke Detectors_Qty OThinsimmers EVA EMotonlip
FIRE ALARM SYSTEM (Requires 3 sets of Plans)
Qty—volts/andfus— VALUE OF WORK$
REP4W/MISCELLANEOUS
7,Replace Burat/Dandaged Meter Can ESafetylitspection OPanel Change f JOH to UG
NOW.
GOther: 10ill rk42p� ShV+- c=AOLXI
Porprit b ou..�.id if work does not opournerm within a six poortb period or writ is suspended or abandoned for Six toonoths, I herstry centify that I have
read this applioation and know the seurne to be me and corotta- All provisions of laws and ordinturces gp�srning this wpk will be coroplied with whether
specifiedornot The purouit does not give authority to violate the provisions ofany other slow or Imal law regulation construttion or the pcdompanne of
eopatnstio.�
Property Openers NamcDa ne khaar(A,% Phone Number qbL4 4�-a� r),j q ;�L
Electrical Company Alw;(-ap r1ce-46'c'-'l conbncfiL�-Office Phone 5N-W)�fMFax—
Co.Address; SD8'---< F—D. r Ci --w-r9ME111C Stencil- ZiP3776r)
C, —'
License Holder(Print): (!�Q� f: 'crtfflcation/Registration# &A4/
Notarized Sig"jy.&QLicense Holder
*N STATE OF FLORIDA Sworn and s 4 thjs_42-- dayoQ 2017
OTARYPUBLIC ubscribed b1C
Ownrril GGO"M Signature of Notary Pub(ic h"
Expsaa2r2r202I
Cash Register Receipt Receipt Number
City of Atlantic Beach R1759
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $94.00
ERES17-0039 Address: 1580 BEACH AVE APN: 171875 0000 $94.00
EILECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 G $55.00
ELEC REPAIRS AND MISC 455-00W322-1000 G $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-00M208-0600 0 $2.00
STATE DCA SURCHARGE $2.00
TOTAL FEES PAID BY RECEIPT: R1759 $94.00
Date Paid:Tuesday,June 13, 2017
Paid By:AMERICAN ELECTRICAL CONTRACTOR
Cashier: BA
Pay Method: CREDIT CARD 5
Printed:Tuesday,June 13,2017 10:49 AM I of 1
CITY OF ATLANTIC BEACH
80 SEMINOLE RD
ATLANTIC BEX,FL 32233
061orm 10:36:51
CREDIT CARD
K SALE
Card# VX000=1482
SEQ#: 5
oft#: 381
INVOICE 5
Annyal We: 716633
8ty NeW mnol
MD*: Oft
To kwt: $0,00
U Do*: 51
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131
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W Code: M
WE AMOUNT
CUSTOMER COPY