1810 LIVE OAK LN - ELECTRIC / GENERATOR 1-L`1
o's f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'!0;119%' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0186
Description: 200 Amp 240 Volt 1 Phase Generator Outlet
Estimated Value: 800
Issue Date: 6/8/2018
Expiration Date: 12/5/2018
PROPERTY ADDRESS:
Address: 1810 LIVE OAK LN
RE Number: 172020 0744
PROPERTY OWNER:
Name: LAGUE RONALD E
Address: 1810 LIVE OAK LN
ATLANTIC BEACH, FL 32233-4510
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: EMPIRE ELECTRIC INC
Address: 6999-2 Merrill RD#351
JACKSONVILLE, FL 32277
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
I Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 8 LD L:'? k 0 fl LG Y e, PERMIT#Ego/gootgi
JEA INFORMATION REQUIRED ON ALL PERMITS (qAMPS ,R 90 VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
! Residential(Main)Service
0-100 amps '101-150amps [1151-200amps ❑ amps #of Meters
:Commercial(Main)Service
0-100 amps [ 10 l-150amps D 151-200amps 0 amps CCT Service amps
Conductor Type Size
Multi-Family(Main)Service
_0-100 amps _101-l 50amps ❑151-200amps 0 amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE LI amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps L200amps U amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 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 Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign ; Smoke Detectors_Qty [1Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUSQQ������ Qa
Replace Burnt/Damaged Meter Can ESafety Inspection OPanel Change [iOH to UG -0 uJO •
ther:A 0 STA.)I a �e ra r oo Me-I- , 'Card
l�O ► -4- Trotr .
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. Q7'
Property Owners Name 1�,V Y1 C19 0 E% Phone Number 11 t31-3-14C04
Electrical Company mFl re., 9 ezlre:‘c t 1(1.C► Office`Phone X77 Fax eiv ��./(
- ,
Co.Address: 5 �O aC T Au•CCity 3 + State Fl Zip 322.1Z./
License Holder(Print): R;C.\\mord 5P_4' ✓✓ -- c State Certification/Registration# r.c 07'00441V)
Notarized Si:nat ' • -
�,. JAMES M SULLNA 1
x N!Y COMMISStoN k FF9�4214 worn and subscribed befo m is 7 y of U r\ 20) 8
'?5.� ,.; EXPIRES Mat • .r .ignature of Notary Public ---
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r r�� _ !( +L�r. -1)"."`"s% .� :"a*' ��..1�u 'r- .:�,r —.r_+''3�,/C. - f.� -•.:r-, c.�--":�+�o''ti- _'•r' �.'.. . .. .._'.A• ,rL . "i: � .�.' .
,g a Cash Register Receipt Receipt Number
City of Atlantic Beach R5302
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $153.00
ELEC18-0002 Address: 645 ATLANTIC BLVD APN: 170662 0000 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SIGN 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
ERES18-0186 Address: 1810 LIVE OAK LN APN: 172020 0744 $59.00
ELECTRICAL $55.00
ELECTRICAL BASE FEE I 455-0000-322-1000 0 $55.00
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: R5302 $153.00
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
06/08;'2018 14:10:29
CREDIT CARD
VISA SALE
Card; XXXXXXXXXXXX8663
SEQ#: 2
Batch a: 623
INVOICE �
Approval Code: 051551
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT 453,00
Date Paid: Friday,June 08, 2018
Paid By: EMPIRE ELECTRIC INC CUSTOMER COPY
Cashier: BA
Pay Method: CREDIT CARD 7
Printed: Friday,June 08,2018 2:11 PM 1 of 1
7W4157