1202 Jasmine St ERES18-0335 new service permit 'P t
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0335
s
ISSUED: 10/9/2018
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 4�7�2019
MUST CALL INSPECTION PHONE • 1 . 247-5814 BY . PM FOR , INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, a • OF • '
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:
1202 JASMINE ST ELECTRICAL RESIDENTIAL NEW SERVICE 200 AMPS, $6000.00
240 VOLTS, SINGLE PHASE
TYPE OF BUILDING
• • GROUP:
171020 0030 ATLANTIC BEACH SEC H
COMPANY: ADDRESS:
ELITE ELECTRICAL 11611 CAPE HORN AVE JACKSONVILLE FL 32246
SERVICES LLC
• ADDRESS:
Jasmine Land Trust#1202 1202 Jasmine Street 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 • .
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
aye.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC MINIMUM FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$129.00
Issued Date: 10/9/2018 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
4/' �hh(904)2477-5826 Fax(904) 247-5845 ��ES ��—033SJOB ADDRESS: V �/"C rr l / �< PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITSje2AMPS VOLTS PHASE
VALUE OF WORK$ 4010
NEW SERVICE ❑ Overhead Underground ❑J Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
[]Commercial(Main)Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps [I CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters
[]Temporary Pole ❑ amps
SERVICE UPGRADE []_amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 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 plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Bumt/Damag/e'dd Meter C,an/ El ❑Safety Inspection Panel Change 11OH to UG
❑ ^
Other: //W
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 I have
read 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 p ovisions of any other state or local law regulation construction or the performance of
construction. /„ VL n ► r `Q r•+l n 6'9' ( ex-
Property
f-Property Owner`s-Name etiSrht n e- L0'A- i-0 S T � hone Number
Electrical Company , ` � rU�C S� Office Phone9?K�g44,1y)Fax
�( r d�11 Ci State Zi
Co. Address: city
License Holder(Print): / � L�r� ✓ State Certification/Registration#
Notarized Signature of License Holder
._. Sworn and subscribed before m is of 20�j
!, 944
'I` 4I py TONI UNDLESPERGER
„ My cQ,IMISSION#rr 924951 Signature of NotaryPublic
c EXPIRES:October 6,2019
° Bonded Thn;Notary Public Underwriters