404 S Oceanwalk ERES18-0337 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
J j CITY OF ATLANTIC BEACH ERES18-0337
ISSUED: 10/11/2018
o 800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES:4/9/2019
CODE, NEC, IPIVIC, 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:
4045 OCEANWALK DR ELECTRICAL RESIDENTIAL BOND GAS LINE $1800.00
TYPE OF SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
169463 0524 OCEANWALK UNIT 02
COMPANY: rr •
MOORE ELECTRICAL 10526 CRAIG INDUSTRIAL DRIVE JACKSONVILLE FL 32225
CONTRACTORS, INC.
• ADDRESS: CITY: STATE: ZIP:
FLANAGAN WILLIAM J JR 404 OCEANWALK DR S ATLANTIC BEACH FL 32233-4573
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
ELECTRICAL BASE FEE 455-00003231000 0 $55.00
STATE DBPR SURCHARGE 4550000-308-0)00 0 $300
STATE OCA SURCHARGE 455-0000-208-0600 0 $200
TOTAL:$59.00
Issued Date'. 10/11/2018 1 oft
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
1
CITY OF ATLANTIC BEACH ERESM0337ISSUED: 10/11/2018
800 SEMINOLE ROAD
'117 ATLANTIC BEACH. FL 32233 EXPIRES:4/9/2019
Issued Date: 10/11/2018 2 oft
ELECTRICAL PERMIT APPLICATION
Cm OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 (,� 1`CJ(.(.7 ��3 7
TOB ADDRESS: 6f d y ,�A> �, , J) i-n PERMIT#
IEA INFORMATION REQUIRED ON ALL PERMITS AMPS ,0&6_VOLTS PHASE
VAL UE OF WORK$1R,5. ,!d
9EW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑_amps #of Meters_
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps CCTService_amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps []------amps #of Unit Meters_ _
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
!IEW FEEDER(ADDIJ-IONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps []_____amps OCT Service_amps
4DDrrIONS,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:
❑THER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sip OSmoke Detectors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty_volts/amps - - VALUE OF WORK
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety hsspection ❑Panel Change ❑OH to UG
IXOther: 3OW01 QZ r 1 'ALo
?crmit 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
road this application and know the same to be one and correct. NI provisions of laws and ordinances governing this work will be complied with whether
:peci5ed or not The permit does not give authority to violate the provisions of any other stare or local law regulation construction or the performance of
construction.
Property Owners Name/ �C�/�„ i Phone Number?,r7-124F—
,- -0422L—
Electrical
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Electrical Company /p'DO YC `/GCf�%<s� �.y� C Office Phone*AwT-i6PDa/ Fax >�/-/ij'S �
❑o.Address: Ay 41 x 8SoS7f City -tJaC State F/ Zipt=40—'
License Holder(Print): StateCe ification/Registration#L'��eV75�D
Votarized Signature ojLiee/tse older
Swom an bscribed efore me a 2
YR: yk TOM GII%S. RGER
Mvcon�a�sslcaarFsz<ssi Signature ofNotary Public
+'+' EXPIRES:We Irar6,min
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