1717 Maritime Oak ERES18-0211 Cash Register Receipt Receipt Number
Is City of Atlantic Beach R5490
DESCRIPTION ACCOUNT
PermitTRAK $238.00
ERES18-0210 Address: 1657 MARITIME OAK DR APN: 169505 2005 $119.00
ELECTRICAL $115.00
ELECTRICALMSE FEE 455-0000-322-1000 1 0 $SS'00
ELEC NEWSINGUE FAMILY 455-0000-322-1000 1 150 $60,00
STATE SURCHARGES $4.00
STATE DBPR SU 11HMG1 451= 2 $2.00
0
STATEDCASUR A $2.00
ERES18-0211 Address: 1717 MARITIME OAK DR APN: 169505 1770 $119.00
ELECTRICAL $115.00
ELECTRICAL BASE FEE 45S-0000-322-1000 1 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 1 150 1 $60.00
STATE SURCHARGES 4.00
STATE DBPR SURCHARGE 455-000�2N-0600 1 0 1 $2.00
STATE DCA SURCHARGE $2 00
TOTAL FEES PAID BY RECEIPT: R5490 $238.00
Date Paid:Wednesday,June 27,2018
Paid By: Riverside Homes of North Flori
Cashier: BA
Pay Method: CREDIT CARD I
Printed:Wednesday,June 27,2018 8:35 AM I Of 1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NElff DAY INSPECTION: 247-5614
PERMIT INFORMATION:
PERMIT NO: ERES18-0211
Description: New SErvice 150 Amps 240 Volts
Estimated Value: 6200
Issue Date: 6/27/2018
Expiration Date: 12/2412018
PROPERTY ADDRESS:
Address: 1717 MARITIME OAK DR
RE Number: 1695051770
PROPERTY OWNER:
Name: Riverside Homes of North Florida
Address:. 414 OLD HARD RD STE 502
ORANGE PARK, I'L 32003
GENERAL CONTRACTOR INFORMATION:
Name;
Address:
Phone:
Name: STRADA ELECTRIC & SECURITY
Address: 3400 ST JOHNS PARKWAY
SANFORD, FIL 32771
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 my 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 BVAC worle,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
06/26/2018 10:24 FAX IM002/002
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Adantic Beach, F1 32233
Ph(904)247-5826 Fax(904)247�5845 V-Vt7S1S- 02-11
JOBADDRESS:. 1-1 1-1 rY\Qn+rfV , #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS OLTS PHASS
V LUEaFW0AKj follno
NEW SERVICE 0 OverhenA EVUeshergiround D Underground up Pole
,711ehildencial(Midn)Symce
LIO-100 amps C101-150hamps U151-200amps U—_ampe #of Meters
']Commercial(Main)Service
00-100 amps 0101450amps [1151-200amps 0—_amps OCT Service—amps
Conductor Type Sim
0muld-Fainiffy ONE)—service
00.100 amps 0101-150amps [)151�200harnps 0—_amps #of unit Mind"
CTempecaterry,Pole []_"a
SERVICE UPGRADE O—_---amps; 0 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
r.1100firrips 1115(himps �J200srrpe 0____yLmps OCTSta�1ce_amps;
ADDITIONS,REMODELS,REPAIR$,BUILD-OUT$,ACCESSORY STRUCTURES,ETC.
Outlete/Switches: 0-30amps 1-100amps —101-20(heraps
Appliamoos' —.0.30amps 31-100amps _101-200ampt;
A/C Circuits: —0-60amps --61-100ndirps
Heel:Circuits; 4 circuits
Number of Lighting Outlets, Including Fixtures,
OTUER ELECTRICAL PROJECTS
oScrinuningPool OSign GSunokeDc1:=rS_Qty OTrm8fbnnars_—KVA DMutors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—vollst"s— P.4 L U.15 OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Darnalpid Meter Can D.Safety Inspection 11panel Ci Largo -.101-1 to UG
00ther;
Pertmitlaoswerarvoid if work does hot czarnmcnowidihi R six month Wi ad or wock is asp,nded or abandonadilar six months. I hcr*ccrLlN that I hew
read this%pplication and know the amse so be me and context, All provisions of Is"end ordimences governing this work will be compiled with whether
specified"am Thgpornnitdoes not Sivaeuthorily(a 10lone the provisions of moothorstatoorleaml low mefulatim,mnmct;"or theparformaroopf
comitructi.n.
Property Owners Name 9�vreo�&U. —PlioneNumber
Eectricalcornparlysirukr. Elj�-�nr- V�e"nrtr-u illoe P luntebjj�j�)I I I—FmLO�K ityiQ,
Co.Address:'3-il-1) g[F:ZV\y"(' PV4-Lu , Ci JJQQ I StutcR�zip 3Z--I-�
License Holder(Print).792Lf ply�' GAnt1jr, an stration#
Notarized Signature of Lice';O'Ho"Ider
V STEPKANIE RALLO d subscribed before
Conerelsilon A FF 175017 of Notary Public
Expric Nveme-f 0,2018
..OM.mmmmm� �-tr�
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INVOICE #
city of Atlantic Beach INV-4633
800 Seminole Road Date Due: 7/26/2019
Atlantic Beach,FL,32233
I,,ojoe Date:6/26/2019 Fee oesoription ce'antity Affleeft
Record# Rmord Type Fee G,.P ELEC NEW SINGLE FAMILY 150 $60.00
ERESIS-0211 EUECTRICALKL�Inj��11�L ELECTRIM BASE FEE 0 $55.00
STATE SURCHARGES STATE DBPR SURCHARGE 0 $2.00
STATE DCA SURCHARGE 0 $2.00
$119.00
,,,ice Total:$119-00
Please send your payrrent to this address:
10 1
Printed:Tuesday,June 26,2018 4:49 PM I of 1 1 4 1 T