364 7th ERES18-0336 Pool Electric ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
° ERES18-0336
r CITY OF ATLANTIC BEACH ISSUED: 10/11/2018
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES:4/9/2019
INSPECTIONMUST CALL •NE LINE (904
ALL • • • • ' • • • • t IF • •
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
364 7TH ST ELECTRICAL RESIDENTIAL Pool Electric $1000.00
TYPE OF SUBDIVISION,ING USE
CONSTRUCTION: NUMBER: GROUP:
1699010000 ATLANTIC BEACH
ADDRESS: CITY: STATE: ZIP:
DECO ELECTRICAL 13046 DUNN CREEK RD JACKSONVILLE FL 32218
CONSTRUCTION
• ADDRESS:
NOVAK EMILY E 364 7TH ST ATLANTIC BEACH FL 32233-5434
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELECSWIMMINGP006 455-0000-322-1000 0 $4000
ELECTRICAL BASE FEE 455-OOOOd22-1000 0 $5500
STATE DBPR SURCHARGE 455 DOW 208-0700 0 $2W
STATE DCA SURCHARGE 4550000-208-0600 0 $200
TOTAL:$99.00
Issued Date: 10/11/2018 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0336
Y� = ISSUED: 10/11/2018
800 SEMINOLE ROAD EXPIRES:4/9/2019
ATLANTIC BEACH. FL 32233
Issued Date: 10/11/2018 2 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
/ 7,L Ph(904))2247-5826 Fax(904)247-5845 'POW—, 1 8-d Q3 ZZ
� j
JOB ADDRESS: 6 LI f STrce! _PERMIT# 519''033(0
JEA INFORMATION REQUIRED ON ALL PERMITS QC) AMPS ) L/o VOLTS 1 PHASE
.0
VALUE OF WORKS 1660,
NEW SERVICE ❑ Overhead ❑ Underground ❑f Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps CI amps #of Meters
❑Commercial(Main)Service
0 0-100 amps 0101-150amps 0151-200amps LI amps 0 C Service amps
Conductor Type Size
IlMulti-Family(Main)Service
0-100 amps D 101-150amps []151-200amps J amps #of Unit Meters
[]Temporary Pole amps
SERVICE UPGRADE [] amps 0 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps []150amps D200amps C amps CI 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
Awimming Pool '._ Sign []Smoke Detectors_Qty []Transformers KVA DMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
(Replace Burnt/Damaged Meter Can LSafety Inspection Cl Panel Change DOH 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 1 have
read this application and know the same to be hue and comet. 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.
Property Owners Name Ale)Jn 1( Phone Number
Electrical Company [Deco do4-,AF _Office Phoney fJT.19 j—Fax
Co.Address: City e u 1�f4 tatdl ZiptU k
License Holder(Print): PI e v State Certification/Registration#FR[So[yx 9J
Notarized Signature of License Holder s /" 11 +
•, 3p.sMlm worn and subscribed before me this try of L✓ 20Do
I MY COMMISSIONSGa255331
5,2= 'i€nature of Notary Public
'•:rd• tandod rhv Naary PuNc UiNewin