158 Poinsettia ERES18-0342 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0342
ISSUED: 10/17/2018
800 SEMINOLE ROAD EXPIRES:4/15/2019
ATLANTIC BEACH. FL 32233
14MIN-j:(all
CODE, NEC, IPIMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
requirements of this permit,there may be additional restrictions appil cable
that may be found in the public records of this county,and there may be additional permits req ired from o er
governmental entities such as water management districts,state agencies,or federal agencies.
ble his ty
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N CE I Chit to the'equ,'-m--ts of this Permit,there may be addi" '-s from 0
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govern em'I Entries such as water m ..gem..t cls , S'state ager Ces,or fe
JOBADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
158 POINSETTIA ST ELECTRICAL RESIDENTIAL SAFETY INSPECTION $250.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1706390010 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
I'
BARKOSKIE ELECTRICAL 48 S PENMAN RD JACKSONVILLE FL 32250
SERVICE, BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
STELZMANN ANDREW A 184 POINSETTIA ST ATLANTIC 'BEACH FL 32233-4018
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
AT-FORNEY 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
ELECTRICAL BASE FEE 455-0000 322-1000 0 $55,00
SMETY INSPECTION 455-0000T322-1000 0
0 2.
$2.(o
STATE OBPR SURCHARGE 4S5 ODUO208 0700 0
CC
S ST TE G ,URCH P.
TATE OCA SURCHARGE 411
$10900
aTOTAL:$109.00
Issued Date: 10/17/2018 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0342
ISSUED: 10/17/2018
800 SEMINOLE ROAD EXPIRES:4/15/2019
ATLANTIC BEACH. FL 32233
d Date, 10/17/2018 2 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTic BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 E-R&
JOR ADDRESS:—/5B P.O/A(567774 5r- PERmrr#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS —7`i4o VOLTS PHASE
VALUE OF WORK S Z-'o
NEW SERVICE-S Overhead Underground [3 Underground up Pole
Ulkesidential(Main)Service
DO-100 mpg E1101-150amps D 151-200=ps 11 mpg of Meters
IlCommercial'Iftin)Service
DO-100 mpg 0101-150amps 0 151-200amps 0_----amps DCTServiw_=ps
Conductor Type Size
DMulti-Family(Main)Service
00-100 amps [1101-150amps D 151-200amps D amps #of Unit Meters
DTemporary Pole []_____#mpg
SERVICE UPGRADE 0 CT Service mpg
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
U100amps 0150amps D200amps 0—affilas [ICT Service mpg
ADDrrIoNS,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
DSwimmingPool DSign OSmokeDetectors_Qty UTransformers KVA DMotors—hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/mps— VALUE OF WORK A
REPAIRS/MISCELLANEOUS
DReplace Bumt/Dmaged Meter Can Xafety Inspection ElPanel Change DOHtoUG
DOther:
Permit becomes void if work does not consonance within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
mad this application and know the samse to be me and correct. All previsions of laws and ordinances governing this work will be complied with whether
specified or not The permit does not give authoritY W violate the provisions of my other gone or local law regulation construction or the performance of
armorection.
PropertyOwnersName 57-i5-4�-Z ,44,+,(^( Phone Number
Elevtrica]Contpsan7y-3�4�odw e:Lec-r/za� Office Phone244,07 5 Flut Z"ScIt 7
Co.Addrcss: 95-3-5"vrmg�r—/4yiv city'1,ti."64Aj-- St'teh zip37-za'D
License Holder(Print): jA*t4&—> A�—�4 State Cerfification/Relzistration4;�(5 Vet 2 3 6-7
Notarized Signature of License
Before me flux
Signature'fN'