1657 SEMINOLE RD ELEC & RECEIPT 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: ERES18-0101
Description: INSTALL 11 KW BACK-UP GENERATOR
Estimated Value: 2000
Issue Date: 3/29/2018
Expiration Date: 9/25/2018
PROPERTY ADDRESS:
Address: 1657 SEMINOLE RD
RE Number: 1695640030
PROPERTY OWNER:
Name: FINKLEA ROBBY JAY
Address: 1657 SEMINOLE RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Caribbean Electric
Address: 12555 SE 142nd Ave
Ocklwana, FL 32179
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: PERMIT#
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JEA INFORMATION REQUIRED ON ALL PERMITSJZ�AMPS �?AD VOLTS -7) PHASE
VALUEOFwoms— 2-00(
NEW SERVICE 0 Overhead Underground Underground up Pole
0 Residential(Main)Service
F10-100 amps i�-J'101-150amps 151-200amps —amps #of Meters
F1 Commercial(Main) Service
110-100 amps Ll 10 1-1 50amps 151-200amps --amps FCT Service amps
Conductor Type__________ Size
UMulti-Famfly(Main)Service
LIO-100 amps 101-150amps 151-200amps —amps #of Unit Meters
"-]Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
F1100amps �jl5ftmps --1200amps --]_ amps 5CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: —0-30amps 3 1-1 00amps —.101-200amps
Appliances: 0-30amps 31-100amps -101-200amps
A/C Circuits: 0-60amps .,.---61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including ii��tures:-
OTHER ELECTRICAL PROJECTS
Ll Swimming Pool P Sign 1-1 Smoke Detectors_Qty L Transformers KVA '--�Motors hp
FUZE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can 1-1 Safety Inspection []Panel Change L3 OH to UG
rther: �—�,W yJ 3e C-L ener6,17k
comes void if work does not commence within Aix 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. AlIPTOVisionsoflaws and ordinances governing this work will be complied with whether
specified or noL The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
constmction.
Property Owners NameRQbbV P Cf) L e!5 -Phone Number '�o
Electrical Company(!Lr-'6��n' —Office Phone 352-2h-426 Fax -3 D-6rj- F�np
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Co.Address: V51 1 Y�ry d- 4 kre City 0&Uew4jj State Zip 3ZJ--7-5
-R,96p,� i"Ies State Certification/Registration# 13LxDl��
License�0 r�.QWII
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NotaA
?*ense Holder
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Sworn and subscribed before me J�Avch
this day of 20
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Signature of Notary Public
8- d 6
Cash Register Receipt Receipt Number
City of Atlantic Beach R4638
DESCRIPTION ACCOUNT CITY PAID
i PermitTRAK $94.00
ERES18-0101 Address: 1657 SEMINOLE RD APN: 169564 0030 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
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: R4638 $94.00
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Date Paid:Thursday, March 29, 2018
Paid By: Caribbean Electric
Cashier: CB
Pay Method: CREDIT CARD 009264
Printed:Thursday, March 29,2018 3:53 PM 1 of I