223 Ocean ERES18-0333 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0332
ISSUED: 10/10/2018
800 SEMINOLE ROAD EXPIRES:4/812019
ATLANTIC BEACH. FL32233
.1 2
ALL WORK MUST LO-TWW111 TLVI fit
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
............. nts of this permit,there may be additional restrictions applicable to this property
that rI be found in the public records of this county,and there may be additional permits required from other
governmental entities such aswater management districts,state agencies,orfecleral agencies.
—JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
223 OCEAN BLVD ELECTRICAL RESIDENTIAL $1200.00
FNOTICE:In alditionto the�requkemen e I tr.1c.h e rte a
I - - -to to the' q me ts of'h's P 'm m
t that BID y f. n U 1, B U Y, Re
hat maybe found in the public records of th Is c. m It he
a b u - BID
g g.v FIRM tal t.t s s as w.t TO t st , ts,st te
overnmental entities such aswate, an.gemen cli a
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: -GROLIP:
1701940000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
I
STUART JONES ELECTRIC 551 CHATHAM STREET,#1 JACKSONVILLE FL 32254
INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
CONFIDENTIAL CONFIDENTIAL COSIF xx
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
ELEC LIGHTING OUTLETS,INCLUDING MIXTURES 4S5 DOW 322 1003 2 $1,70
ELECTRICAL BASE FEE 450000- 2 X 0
STATE OBER SURCHARGE 4 5 GOM2 8- 700 0 $2.M
STATE OCA SURCHARGE 455 $2,00
TOTAL:$60.20
Issued Date: 10/10/2018 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0332
ISSUED: 10/10/2018
800 SEMINOLE ROAD EXPIRES:4/8/2019
ATLANTIC BEACH. Fl.32233
issued Date:10/10/2018 2 of 2
Cash Register Receipt Receipt Number
City of Atlantic Beach R6999
PAID
DESCRIPTION ACCOUNT CITY
7Per7it—TRAK $154.20
ERESIS-0332 Address:223 OCEAN BLVD APN: 170194 0000 $60.20
ELECTRICAL $56.20
ELECTRICAL BASE FEE 455-0000-322 1000 0 $55.00
ELEC UGHTING OUTLETS,INCLUDING 455-0000-322-1000 2 $1.20
FIXTURES
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 4 5 5-0 00 0-2E8�O E070 $2.00
STATE DCA SURCHARGE 455-0000 208 1110�101 200
''tM�SIB-0333 Address:'1601 ATLANTIC BEACH DR APN: 169505 1060
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 1 0 1 $55.00
EC REPAIRS AND MISC 455 0000-322-1000 1 0 1 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0!Lo 2
STATE DCA SURCHARGE 455-0000 208-0. 0 Lo
TOTAL FEES PAID BY RECEIPT: R6999 $154.20
Date Paid:Wednesday,October 10, 2018
Paid By: STUART JONES ELECTRIC INC.
Cashier:CB
Pay Method: CREDIT CARD 004620
Printed:Wednesday,October 10,2018 12:44 PM 1 of I it
L
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 19 Fsv- oZ43
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 9X-6 Dllfa-n EkV6
JEA INFORMATION REQUIRED ON ALL PERMITS -�Q�AMPS V40 VOLTS PHASE
VALUEOFWORKS la-DO
NEW SERVICE -0 Overhead E] Underground 0 Underground up Pole
El Residential(Main)Service
FJO-100 maps A01-150amps 0 1 51-200amps El______jamps 4 of Meters
1-1commemisi(Main)Service
110-100ampas 0101-150hamps 0151-200hamps 0—arrips UICTServicemps
Conductor Type size
-�Multi-Fanaity(Main)Service
�-0.100 arrips E1101-150amps a I 51-200ampas U—Salps 4 of Unit Meters
E Temporary Pole D—amps;
SERVICE UPGRADE El---amps D CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC-)
1100arrips E1150amps E1200amps 0____--wnps DCT Service_arrips
ADDITIONS,REMODELS,REPAIRS,RUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: __3_0-30amps —31-100turps 101-200amps
Appliances: ______9-30amps 31-100amps 101-200amps
A/C Circuits: —0-60amps 61-100amps
Heat Circuits: ' # circuits @ kw
Number of Lighting Outlets, Including Ki�xturev. S
OTHER ELECTRICAL PROJECTS
oSwi,nmingPool DSign E1SmokeDetcct0M—QtY lJTmaslonners_KVA (IM01DIS—ill?
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—voltsfamps— KALUE OF WORK
REPAIRS/MISCELLANEOUS
EIReplace Burrit/Damaged Meter Can 11 Safety Inspection opmelChange EjOHtoUG
POther
permit becomes void if work does not eurnmence within a six month period OT work is suspended or A.dncd to,=mha. I hereby certify thist I bane,
read this application and know the same to be true anal enacts. All provisions of laws and Ordinances governing thi win be compiled with whether
specified or not The permit does not give anthOrRY to violate the pnovisions of arY other state or local law regulation construction or the performance of
construction.
Property Ovvnen Name Pcifr Tm-LrnenKo Phone Numbeir C04-9-33 -99 D,
Electrical Company afi.la r+ Jbnes Ekch�v-�Office PhoraeCjVL-jjk��Fax—
Co.Addoeaa: le*334 EE, G, city jMj��,jt state FL Zip -6�21
License Holder(Print); State Certification/Registration 4 EC I!;DUZ
Not alum a License HoMer
L Rl A EVERETT m and subscin before nadi this—'f day of OCA06 20
n,stal. Flmkl.-Not-uVPU1h
cons lesion#60 259257 of Notary Publ'10611,���
mio,,E.pims,
M�
.......... te be, 17,2022