248 11TH ST - ELECTRIC COAB Permit Form with Conditions Page 1 of 2
Enter Permit Number ERES18-0330 View Report
1,1 4 1 of 1 V Ax) 100% v find I Next x • r-
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES18-0330
, , CITY OF ATLANTIC BEACHuiv ISSUED: 10/8/2018
800 SEMINOLE ROAD
`•)4 EXPIRES:4/6/2019
ATLANTIC BEACH, FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC,AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: I PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
248 11TH ST ELECTRICAL RESIDENTIAL $500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170251 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
..___-.__,--------
RIVER CITY ELECTRIC INC 2825 HOLLYBAY RD ORANGE PARK FL 32073
OWNER: ADDRESS: CITY: STATE: ZIP:
MCKNIGHT GERTRUDE S 248 11TH ST ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $6.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 52.00
TOTAL:$65.00
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COAB Permit Form with Conditions Page 2 of 2
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Issued Date:10/8/2018
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ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 er-E-s (E- O 3 3 C}
JOB ADDRESS: Z(---k % k 1 +. 5k , PERMIT# ‘ - 02-1 O
JEA INFORMATION REQUIRED ON ALL PERMITS ) AMPS Zu O VOLTS r PHASE
VALUE OF WORK$ Soa -0.3
NEW SERVICE ❑ Overhead Underground I Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps O 151-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service _
00-100 amps 0101-150amps O 151-200amps 0 amps #of Unit Meters
OTemporary Pole 0 amps
•
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: kc) 0-30amps I 31-100amps 101-200amps
Appliances: Z 0-3Oamps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: Z
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign O Smoke Detectors_Qty ❑Transformers KVA O Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/NIISCELLANEOUS
OReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOII to UG
0 Other:
?ermit 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
•ead 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
:onstruction.
N
'roperty Owners Name C�_c*C 4— L t i"."--k Phone Number
ilectrical Company `4v tr V--:\(---,--)t , --\-"c_. Office Phone Fax
;o.Address: Z--/e52-5 \p cam-.\ Q-& _ City V ..7 . State.Zip 3 Z O 7
,icense Holder(Print): _ \-- ...-\-- ...- C --44-.... State C ification/Registration# LC-S c, '$
Totarized Signature of License
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KITTY COOK efore m is b 1-day of jcozs: 20 ti
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