358 Plaza ERES18-0235 new service permit r(�1ilYln
CITY OF ATLANTIC BEACH
_ 800 SEMINOLE ROAD
~� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL-
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0235
Description: New Service 300 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: GREENSLADE ELECTRIC, LLC
Address: 311 S BAY ST
BUNNELL, FL 32110
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.
i
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
_ 800 Seminole Rd,Atlantic Beach,FL 32233
-_ ..rrte� Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: S /�ss s rQZCI _PERMIT#
921xs( R- bz3x
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 1% 6 VOLTS I PHASE
VALUE OF WORKS � ' �('�
NEW SERVICE_L2J-lWeraeAtlL Underground ❑I Underground up Pole
`Resideutial(Main)Service-
0-I—TUTamps X01.150amps 151-200ampsOCA amps 9o Meters
Commercial(Main)Service
0-100 amps 101-150amps 151-200amps _amps CT Service amps
Conductor Type Sin
Multi-Family(Main)Service -
0-100 amps 101-I50amps 151-200amps _amps #of Unit Meters
SERVICE UPGRADE _amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps I scamps 200amps _amps - CT 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 Transformers `" KVA Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plana)
Qty_voltstamps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Bumt/Damaged Meter Can Safety Inspection Panel Change OR to UG
Other:
Permit becomes void if work does not commence within s six month period or work is suspended or abandoned for six months. 1 hereby certify Mat 1 have
rend this application and know the same M be true and carrier. All provisions of laws and ordinances governing this work will be complied with whether
.specilied or nut The pcmnit don not give authority to violate the provisions of any other state or local law regulation construction or the performance of
,,instruction. -
Property Owners Name_ `-�-`^"" ` """"'� Phone Number U f)x-t-_Q14 -A1C
Electrical Company (t? slr.c.IlI e__ �l e-a-COfficeiPhone �S(a4(Mo A_x `'LX`3Vi6(
Co. Address: City ( vtrtel State !•I Zip �Il
—`�
License Holder(Print): v GvYt.e�- State Certification/Registration#
Notarized Signature of License Ho
saxoaas..laavn Sworn ands scribed before me this1j7�`'�. day of 201b�
w'"""k MYCOhIW551Da U.
U2l2a/e2 Signature
FxraEs.FEB zzzmz Snmu �'Publi
said th a th 1.1 able hisonra
Cash Register Receipt Receipt Numbe
19 City of Atlantic Beach R5769
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $243.18
ERES28-0235 Address: 358 PLAZA APN: 1699710000 $149.18
ELECTRICAL $145.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 300 $90.00
STATE SURCHARGES $4.18
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.18
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TEMP18-0029 Address: 358 PLAZA APN: 1699710000 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0800
TOTAL
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