482 MAKO DR - ELECTRIC (-
, 1=Ly\y 1' CITY OF ATLANTIC BEACH
'`..„ �0800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
`�0;3i>%' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0135
Description: NEW SERVICE -200 AMP, 240 VOLT, SINGLE PHASE
Estimated Value: 1200
Issue Date: 5/2/2018
Expiration Date: 10/29/2018
PROPERTY ADDRESS:
Address: 482 MAKO DR
RE Number: 171480 0000
PROPERTY OWNER:
Name: JAMES WEST
Address: 482 MAKO DR
ATLANTIC BEACH, FL 32233-3906
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name:
Address:
,
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF 1
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 E'RGS(8
u Ph(904)247-5826 Fax(904)247-5845 101
JOB ADDRESS: ... /IWe° PiV'C, PERMIT # ,-CC/6 - 04 11
JEA INFORMATION REQUIRED ON ALL PERMITS pUG AMPS 2'iU VOLTS PHASE.
VALUE OF WORKS /(200.
NEW SERVICE Overhead 11=1 Underground 1 Underground up Pole
OResidential in)Service
00-100 amps 0 101-150amps 0151-200amps u amps #of Meters
❑Commercial(Main)Service
00-100 amps D 101-150amps ❑151-200amps L] amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole U amps
SERVICE UPGRADE ❑ amps O CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps D200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 30 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: — I 0-60amps 61-100amps
Heat Circuits: 1 # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 3a
OTHER ELECTRICAL PROJECTS
0 Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can OSafety Inspection ❑Panel Change OOH to UG
DOther:
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 0,5-57- 4Nt`.Q62 Phone Number
/
Electrical Company KM('h'rEZEt02( - LL C, Office Phone Fax
Co.Address: 11w
it �f1Lje` City S State / Zip 72ZP
License Holder(Print): JI& <\J C Ii r State Certification/Registration# tel 3012t23
Notarized Si/;nature of License Holder
q-----
T-T-...;-,,, TONI GiNDLESPERGER I:efore me this Z. da If ` '�? ,: MY COMMISSION#FF 92019
111111
,,,..'s4,44•�' EXPIRES:October 6,2019
1j'';k �' rdodThNNoaryPubBcUnderv�ters ignature of Notary Public _i • t�
gE,A 80
Cash Register Receipt Receipt Number
City of Atlantic Beach R4946
o;SS>i'
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $129.00
ERES18-0135 Address: 482 MAKO DR APN: 171480 0000 $129.00
ELECTRICAL
$125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
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: R4946 $129.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,'L 32233
)5022018 11:26:56
CREDIT CARD
VISA SALE
:ARD« XXXXXXXXXXXX5045
:INVOICE 0003
SEQ u: 0003
patch x: 000789
Approval Code: 002703
Entry Method: Manual
iNode: Online
Tax Amount: T0.00
Card Code: M
TALE AMOUNT 5129,00
CUSTOMER COPY
Date Paid:Wednesday, May 02, 2018
Paid By:JAMES WEST
Cashier: CB
Pay Method: CREDIT CARD 002703
Printed:Wednesday,May 02,2018 11:27 AM 1 of 1111
nwar