358 Plaza TEMP18-0029 Cash Register Receipt Receipt Number
City of Atlantic Beach R5769
DESCRIPTION ACCOUNT
PermitTRAK 6243.18
ERE518-0235 Address: 358 PLAZA APN: 1699710000 $149.18
ELECTRICAL $145.00
a1EC
TRICAL BASE FEE 455-0000-322-1000 0 $55.00
NEWSINGLEFAMILYW455-0000-208-O -
TOTAL
0-322-1000 300 $90.00
$4.18
HARGES
TE DBPR SURCHARGE0-208-0700 0 $2.16
TE DCA SURCHARGE0-208-0600 0 $200
Address: 358 PLA00 $9400
$90.00
C TEMP SERVICE0-322-1000 0 $35.00
CTRICAL BASE FEE00-322-1000 0 $55.00
$4.00
HARGESTE DBPR SURCHARGE00-208-0700 0 $2'00
STATE DCA SURCHARGE 00-208-0600 0 $200
.
Date Paid: Friday,July 20, 2018
Paid By: NICKEL CHARLES B
Cashier: CB
Pay Method: CREDIT CARD 059042
Printed:Friday,July 20,201810:01 AM 1 of 1
CITY OF ATLANTIC BEACH
'n 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 41PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP18-0029
Description: 60 Amp 240 Volt Single Phase
Estimated Value: 13000
Issue Date: 7/20/2018
Expiration Date: 1/16/2019
PROPERTY ADDRESS:
Address: 358 PLAZA
RE Number. 169971 0000
PROPERTY OWNER:
Name: NICKEL CHARLES B
Address: 358 PLAZA
ATLANTIC BEACH, FL 32233-5442
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
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
f� Pit(904)247-5826 Fax (904)247-5845 `7' s
.)OB ADDRESS:
JEA INFORMATION REQUIRED ON ALL PERMITS 1ao AMPS 7140VOLTS �_PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential(Main)Service
0-IIIA amps 101.150amps 151-200amps --AMPS #of Meters
Commercial(Main)Service
0-100 amps 101-1508mps 151-200amps __amps CT Service_amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps or Unit Meters
Temporary Pole temps
SERVICE UPGRADE amps CT Service__. amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100amps 150amps 200amps _amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Oudets/Switches: 0.30amps 31.100amps 9101-200amps
Appliances: 0-30amps 31-100amps 101.200amps
A/C Circuits: 0-60amps 61-100amps
Ileal Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: "
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty Transformers KV.A Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty__volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Bumt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
Permit hecr ows said if work roes not commence within a six month period or work is suapcmded or ahandoned for six months. I herehy certify that I have
cad this applicationand know the come to he true and correct. All provisions oflaws and ordinances$oveming this work will he complicdwith whether
,,eclliedernot. rhe permit docs tan give authority to violate the provisions ofan)other state or lmullaw regulation construction or the perfornamee of
am.nuchom
Property Owners Name Phone Number
1-1wrical Company (9Ty� utclarip �IP�4r rr C- Oflice�Phone '&,e"l;k(M
tdd
'o. Address: b W. I C,,bef r City &r%r,QC ( State-f-2-Zip ; )o
License Holder(Print):UQ,�-NQ� eevf State Certification/Registmtion# ECk36OUb'&
Notarized Signature of License Hof -�-
WSworn and subscribed before me thi '`' day of /LLT 20,F
SANDRA AganS
C0x0#$S10Ntraata6/a2 Signature of Notary Publi
UPIRZS.FES 22.2022a¢n tANll0h lrt$an Illralame