791 Paradise Ln ERES18-0346 %+ ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0346
Of!"
ISSUED: 30/17/2018
800 SEMINOLE ROAD EXPIRES:4/15/2019
ATLANTIC BEACH. FL 32233
INSPECTIONMUST CALL •NE LINE (904
ALL W4iIJK MYST CINFIRM •;THE CYRRE74T fTH E11IT111 t IF • •
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:
791 PARADISE LN ELECTRICAL RESIDENTIAL 200 AMP 240 VOLT SINGLE $5000.00
PHASE
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172376 0170 PARADISE PRESERVE
COMPANY: ADDRESS:
MARCO ELECTRICAL 570 MILL CREEK ROAD JACKSONVILLE FL 32211
CONTRACTORS
• ADDRESS:
SPRINGFIELD BUILDERS LLC 1881 BEACH AVE 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 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
ELEC NEW SINGLE FAMILY 4550000-322-1000 200 $70.00
ELECTRICAL EASE FEE 455-0000-3221000 0 $5500
STATE DRIER SURCHARGE 455-0000-20807M 0 $2400
STATE DCA SURCHARGE 455 HOW 208-0600 0 $200
TOTAL:$129.00
Issued Date: 10/17/2018 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH ERES18-0346
~�
800 SEMINOLE ROAD ISSUED: 10/17/2018
ATLANTIC BEACH. FL 32233 EXPIRES:4/15/2019
Issued Date: 10/17/2018 2 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH �lS_a3
800 Seminole Rd,Atlantic Beach,FL 32233 (U 1 I
n/� I� !y Ph(904)247-5826 Fax(904)247-5845 RE s )(v—
JOBADDRESS;' q" Pt,lmdl,Sc LoreS�,,��{�t PERMIT# U32-
JEA INFORMATION REQUIRED ON ALL PERMITSO�_AMPS VOLTS PHASE
VALUE OF WORK S S 0 0 0
NEW SERVICE ❑ Overhead Underground ❑1 Underground up Pole
eaidenfial(Main)Service '
-100 amps 0101-150amps 1151-200amps amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps i 1151-200amps I '.. amps 11CT Service_amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150aurps L1151-200amps L! amps #of Unit Meters
OTemporary Pole 1.1 amps
SERVICE UPGRADE 0 amps f.I CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps i1200amps rl amps !7CTService_arrps
ADDITIONS,REMODELS,REPNIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. ,.
Outleta/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits(a} kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA L1Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans) J
Qty_volts/amps VALUE OF WORKS ) �•
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can P Safety Inspection !Panel Change I.IOH to UG
❑Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six nwnths. I hereby certify that 1 have
read this application and know the same m be we and coned. All provisions of laws and ordinances governing this work will be complied with whether
specified or na The permit does not give authority to violate the provisions ofany other state or local law regulation construction or the performance of
construction. �
Property Owners Nam IJ hn( U, � 1 Phone Num her
�Pc'�Electrical Company C6mD t fni,4, Office Phone 1) /F-,ax74b-44a'�
Co.Address: � 1 �_q_Qi2 City ��Q4_ljj .I I)-p State R Zip
License Holder(Print): State Certi -on/Registration# L 13 0 0A2k15
Notarized Signature of License Holder
Sworn subscribed before a this I day of c)n I.I" 20�
149BONNELL W CRAIG Q I
BO MMISS,gp4F161dJ3 S`fm,uhuwofNo Publ1� A A AOQD
a%PIRlS:nw+�a^11,3016 a+""""" ""J