81 Beach Ave elec for remodel permit r % CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD
�r
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: ERES18-0033
Description: 200 amps/240 volts/single-phase-elec for remodel
Estimated Value: 20000
Issue Date: 2/7/2018
Expiration Date: 8/6/2018
PROPERTY ADDRESS:
Address: 81 BEACH AVE
RE Number: 170221 0010
PROPERTY OWNER:
Name: SKINNER ARTHUR CHESTER III TRUST ET AL
Address: 2963 DUPONT AV#2
JACKSONVILLE, FL 32217-2740
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: JOHNSON ELECTRIC OF JACKSONVILLE INC
Address: 5025 AZURE ST
JACKSONVILLE, FL 32258
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.
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.
* 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
900 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247--5826 Fax (904)247-5845 S – 3�
JOB ADDRESS: g I =� ! !:•� '� - , Alladi c �,r�4, _PF R NI tT##
JEA INFORMATIONREf1U1RCQ O\ A1.1. PFRIITS A'�1Pti; y� VQL"I'S PHASE
VALUE USF'WOM S_,�
NEW SErRYICE ❑ Overbead ❑ Underground D Undergromd up Pok
`-Residential(.Main)Service
0-100 amps :11014 50sm ps 11151200w,ps D amps #of Meters T
Commercial(Main)Service
0-100 amps �.1101-l_5 Darn ps 13151 200amPs D amps t.7 CT Service ._ amps
Conductor Tri Size —
Multi-Family(Mahn)Service
I a-loa amps !101-15O tnps 11151-2(* mps amps N of Unit Meters
t'Temporary Pole 1 1 amps
SERVICE UPGRA DF D amps t; CT Senice amps
NEW FEEDER(ADDITIONS,ACCESSORY STRI,(.TURFS, ETC.)
f-`100 arrmps ,150amps :1200amps - amps (-T Scmcc amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OMACCESSORY STRUCTURES,ETC.
CJhadc slSw"Itr - _Q_0-30amps __L_31-100amps 10l-zUosrttps
Appliances- .3 0-30anips _1_31-100amps „101-20a�unps
AJC Circuits: c? 0-60amps 61-100amps
New Circuits- _ 0 circuits 0) kw
Number of Lighting Outlets, Including Fixtures- -30—
OTHER ELECTRICAL PROJECTS
s s'SwimUr►ing Pool Sign moi;c De tc ttrs _Qtv I.JTcaasfvemers _ _.� KVA I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qt!"__ volr amps VALUE OF WORK S
REPA.IRSIMLSCEI.LANEOUS � ,�
�!:Rcp[acc 13u1ctta')=agcd MctcrCw FSafctN Inspoetion VPIlncl Change DOH to UG
Other.
F'c-rrci:tictucn�a vucd�', 1.%=10.1 ur wink fl xrvmLkxt in aharK1v td tnc sit irx)vt6- t 1w=r_in Certify ULA t haw
nom!this ag�pticatiat amri imow tlx W be tcuc ani arncruct AD proti!a of laws aut mdisw:ci.gowxc:irr_this work wilt be wa4fiW with wbdhrr
sponfial tar not. The partes docs not r-we au hmi t to violate the poitlwm of any oth m state or;eal b.-tcir lubm ccrosirtchom or t w perfartna nm of
comm _YS
Properh-Owners Namc T7Y�tAr��•M' r1�V"7��1sFl�e Number CIN ql+D Dq 0-
Electrical Company - on E1&ftj(. Df _etCk ,041 1�r,*Qflice Phone q/ W& 0WO Fax
Co.Addruss: 1921 Orf- S�l City_� State& Zip 3–
Licewc Holder II'rit]tl: CertificatiowReglstration 9
;1'1rlur7' d.1i,nulurr:()
_fLiCemve Holder
Svrrrn and subscribed bcfom me -s — day of r-Wrw., 2�
MEFA&.0#4XN
cur cct+. s c�aces Signature of Notary Public
x� T
' �` Gcnfed r+r.�?.ut Lna.rwr;a�
Cash Register Receipt Receipt Number
City of Beach • • •
'giUi31��
DESCRIPTION • QTY PAID
PermitTRAK $119.00
ERES18-0033 Address: 81 BEACH AVE APN: 170221 0010 $119.00
ELECTRICAL $115.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 30 $18.00
FIXTURES
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $26.00
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $10.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $6.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
!TOTAL ' • : $119.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
X2.072018 13:29:17
CREDIT CARD
MC SALE
ARD r XXXXXXXXXXXX9074
:INVOICE 0003
3EQ u; 0003
Hatch u; 000731
Approval Code: 102590
:ntry Method: Manual
Mode: Online
'ard Code: M
�AIE AMOUNT
CUSTOMER COPY
Date Paid: Wednesday, February 07, 2C
Paid By:JOHNSON ELECTRIC OF JACKSONVIL
Cashier: CB
Pay Method: CREDIT CARD 102590
Printed:Wednesday, February 07,2018 1:30 PM 1 of 1 �
TOM