664 BEACH AVE - ELECTRIC REPAIR Ir`'sd
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: ERES18-0084
Description: Repair some plugs install 10 outlets 3 Appl add 8 fixtures
Estimated Value: 500
Issue Date: 3/15/2018
Expiration Date: 9/11/2018
PROPERTY ADDRESS:
Address: 664 BEACH AVE
RE Number: 170128 0000
PROPERTY OWNER:
Name: MELANCON DEJEAN JR
Address: 664 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: STEWART ELECTRICAL CONTRACTING, INC.
Address: 3164 COUNTY RD JOSEPH ALLEN BRADY
MIDDLEBURG, FL 32068
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 (c°t _Ay
JOB ADDRESS: 6y a e uc t-, Ave i9-0 "1.c /3 e4 4 RMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$ $o of
NEW SERVICE ❑ Overhead (1 Underground IJ Underground up Pole
❑Residential(Main)Service
0-100 amps ❑101-150amps ❑151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps ❑101-150amps 0151-200amps amps ❑CT Service amps
Conductor Type Size
L Multi-Family(Main)Service
C0-100 amps ❑101-150amps u 151-200amps 0 amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE a amps El CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
El 100 amps ❑150amps E200amps G amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: ip 0-3Oamps 31-100amps 101-200amps
Appliances: 3 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw,�pp
Number of Lighting Outlets, Including Fixtures: O
OTHER ELECTRICAL PROJECTS
Swimming Pool [ Sign ❑Smoke Detectors Qty 0 Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
2 Replace Bumt/Damaged Meter Can Safety Inspection ,Panel Change a OH to UG
[Other: Soh'€ e/1/5- /7J' 1,/,//k',L- fat`'/YS�1'.„
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 permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Ifh t I P A G c,h (/J 3-P Phone Number
Electrical Company S.-te`•'"9rr & t'T;L ..I-h c Office Phone dot/-20>--fic, Fax
SW P
Co.Address: 5V S ' l✓�►-t T ,v�, City Kr<-ir c/,,‘se j State F( Zip32 06
License Holder(Print): JOSE'7/ 1. ` Cif)J. Sta - 'ertification/Reggistration# 13 OO.S" ' 6,6'
Notarized Signature of License Holder AZ1 /` � ,
Sworn and suscribed bei•' ,,'��0 1�,, �� r,,,mfg �I ! i 20 1e
1;.:J,:.).%,-.:•,,, -.., ,2021
Signature of Notary Public ,- f ls*,►; t �,: ,,, • 1
1r)r''ry
114*
w Cash Register Receipt Receipt Number
City of Atlantic Beach R4512
DESCRIPTION ACCOUNT QTY I PAID
PermitTRAK $110.80
ERES18-0084 Address: 664 BEACH AVE APN: 170128 0000 $110.80
ELECTRICAL $106.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $6.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $6.00
ELEC LIGHTING OUTLETS,INCLUDING
455-0000-322-1000 8 $4.80
FIXTURES
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R4512 $110.80
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
03/15/2018 14:47:01
CREDIT CARD
VISA SALE
CARD# X)O000000000(0272
INVOICE 0005
SEQ#: 0005
Batch#: 000756
Approval Code: 331186
Entry Method: Manual
Mode: Online
Tax Amount: 00
:ad Code: M
RLE AVOUNT $110.8C
CUSTOMER COPY
Date Paid:Thursday, March 15, 2018
Paid By: STEWART ELECTRICAL CONTRACTINI
Cashier: CB
Pay Method: CREDIT CARD 331186
/.
Printed:Thursday, March 15,2018 2:48 PM 1 of 1
TWAT