740 SAILFISH DR - ERES18-0215 11 -
' CITY OF ATLANTIC BEACH
SS'
5 Vi', .'`' r) 800 SEMINOLE ROAD
�,r ATLANTIC BEACH, FL 32233
,\�;3 �� INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0215
Description: Electric-8 outlets and 5 recessed
Estimated Value: 600
Issue Date: 7/2/2018
Expiration Date: 12/29/2018
PROPERTY ADDRESS:
Address: 740 SAILFISH DR
RE Number: 171206 0000
PROPERTY OWNER:
Name: BARNES AMBER ET AL
Address: 740 SAILFISH DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HARRIS ELECTRICAL CONTRACTING
Address: 889 JOHNS AVE
ORANGE PARK, FL 32065
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 --
Ph(904)247-5826 Fax(904)247-5845 Q=- ESI 8 02_ 15
JOB ADDRESS: '? `- 0 SAIL- F15 )-F/5 )4 ()g
PERMIT# :4S. Jr5' --,rz;?�'
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS 2'to VOLTS / PHASE
VALUE OF WORK S60��dO -�'
NEW SERVICE ❑ Overhead 1 I Underground nl Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps =151-200amps amps #of Meters
Commercial(Main)Service
::0-100 amps 101-150amps 151-200amps __
amps CT Service amps
Conductor Type Size
7Multi-Family(Main)Service
-?0-100 amps '1 101-150amps 1 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE _amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps _200amps amps T1CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: a 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: .5 t' e e5�
OTHER ELECTRICAL PROJECTS
__:'Swimming Pool Sign :`Smoke Detectors Qty .Transformers KVA _Motors hp .
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps _ VALUE OF WORK S
REPAIRS/MISCELLANEOUS
'.Replace Burnt/Damaged Meter Can .:Safety Inspection Panel Change 1.0H to UG
,Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. A
Property Owners Name miler- g,CT-Cn e'5 Phone Number
Electrical Company /+ {$ L L t`T t•4 l Cat tc etpi-c; Office Phone `?/ft i-23J7 Fax V'C) 5}'2 ZZL V
Co.Address: P O 8,,)C 65-7C C:', .,- •, nn
City 11,, r, t'e-� State F-1.--Zip j?v t-S~
License Holder(Print): 0 II ii 51-c igE',--- R•lri A :,' ertifi . , ' -gistration# 61-4-10i'I 776
Notarized Signature of.License Holder /1 �—
LISA FELLOWS Sworn and subscrib-• ee ore m this a g hday of U t1 C 20 18
a°IN': Notary Public-State of Florida7-14.1102041
, n
Commlasion 8 FF 219700Signature of Notary Public 6 q 020 1
','= A,= My Comm.Expires Apr 12,2019
:,. '•" ;. Banded through National Notary Assn. k —i c . ke
.F J
,if
lr,
Cash Register Receipt Receipt Number
`�
_ to
City of Atlantic Beach R5540
•
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $66.80
ERES18-0215 Address: 740 SAILFISH DR APN: 171206 0000 $66.80
ELECTRICAL $62.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING
455-0000-322-1000 13 $7.80
FIXTURES
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: R5540 $66.80
CITY OF ATLANTIC BEACH
800 SEN:NOLE RD
ATLANTIC BEAC,FL 32233
07/02,2018 11:12:41
CREDIT CARD
VISA SALE
Card; XXXXXXXXXXXX9103
SEQ#: 8
Batch#: 639
INVOICE 9
Approval Code: 069131
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT .$66,80
CUSTOMER COPY
Date Paid: Monday, July 02, 2018
Paid By: BARNES AMBER ET AL
Cashier: BA
Pay Method: CREDIT CARD 9
Printed: Monday,July 02,2018 11:13 AM 1 of 1
IR*IT