586 Timber Bridge Lane ERES18-0294 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0294
800 SEMINOLE ROAD ISSUED: 10/12/2018
~ ~`or o.,•. ' ATLANTIC BEACH. FL 32233 EXPIRES:4/10/2019
INSPECTIONMUST CALL •NE LINE (904
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: VALUEOFWORK:
586 TIMBER BRIDGE ELECTRICAL RESIDENTIAL For Swimming Pool $600.00
TYPE OF REALIESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
16950S2120 COUNTRY CLUB UNIT02
COMPANY: ADDRESS:
DAVID PRUETTES 331-8 P PARKRIDGE AVE ORANGEPARK FL 32065
ELECTRICAL SVC.
ADDRESS:
ATLANTIC BEACH 414 OLD HARTS RD STE 502 FLEMING ISLAND FL 32003
PARTNERS LLC
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.
17STATE
RIPTION ACCOUNT QUANTITY PAIDAMOUNT
MMING POOLS 455-0000!II-1000 0 $40.00
CAL BASE FEE 455-0000!221000 C $55.00
PR SURCHARGE 455-0000-2080700 0 $100
A SURCHARGE 4S5 000P208-0600 0 $2.00
Issued Date: 10/12/2018 1 oft
PERMITNUMBER
'. ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH ERES18-0294
ISSUED: 10/12/2018
800 SEMINOLE ROAD
�6, ATLANTIC BEACH. FL 32233 EXPIRES: 4/10/2019
TOTAL:599.00
Issued Date: 10/12/2018 2 of 2
ELECTRICAL PERMIT APPLICATION
CTPY OF ATLANTIC BEACH
-
----- &Ql eemiao)e Rd,Atl=tic Beach,FL 32233 . r[� �+
— Ph(904)247-5826 Fax(904)247-5845 f o6j— t
JOBADDREss: 5ko T-1 twbW b(l 1 daf L PERMIT 'OZ9
0
JEA INFORMATION REQUIRED ON ALL PERMITS 0_AMPS yAo .VOLTS PHASE
VALUE OF WORK$ (Q b O - l
NEW SERVICE ❑ Overhead ❑ Underground [3 Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters_
OCommercisi(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service_amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 11101-150amps 0151-200amps 0 amps #of Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ 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: 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:
OTHERJXECTRICAL PROJECTS
wimming Pool ❑ Sign OSmoke Detectors_Qty ❑Transformers KVA OMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Bmirt/Damaged Meter Can Li Safety Inspection OPanel Change OOH to UG
OOther
permit becomes void if work does not commalce 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 goveming this work will he complied with whether
specified or not The permit does not give authority to violate the provisions of any other state or local law regulation concoction or the performance of
construction.
Properly Owners Name�,�j.�t\W -+l U +�-/�.1��y(Y ew-S+' [[� ���� Phone Nurrlmr��b��e�rr .gyp
Electrical Company 117lid _�L![l: W 6VC� Office Phone oaf Fax��' 79 /
m
Co.Address:391-d I AIC City State jaVJ?�zl1i�/pyy'y�y�pp����-
License Holder(Print): d S ertifi tion/Registration#
Notarized Signature ofLteense Holder
Beforeme this�a day of 20�
=C110P St ature of Notary Public
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