575 TIMBER BRIDGE LN - GENERATOR - ; 'i� ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
"J`+ CITY OF ATLANTIC BEACH ERES18-0345
'r ISSUED: 10/22/2018
800 SEMINOLE ROAD
�'-' ATLANTIC BEACH. FL 32233 EXPIRES: 4/20/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, 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:
575 TIMBER BRIDGE LN ELECTRICAL RESIDENTIAL 22Kw Generator $1500.00
TYPE OF REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 2060 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
STUART JONES ELECTRIC 551 CHATHAM STREET, #1 JACKSONVILLE FL 32254
INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
BRIGHTTIMOTHYJ 575 TIMBER BRIDGE LN 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 REPAIRS AND MISC 455-0000-322-1000 0 $6.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208 0600 0 $2.00
TOTAL: $65.00
Issued Date: 10/22/2018
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-58451
JOB ADDRESS:515 7t &dote 'rt►dj� tete%c an 1geh X 33 PERMIT `S1o'"03q-S
JEA INFORMATION REQUIRED ON ALL PERMITS 0100 AMPS e9 y O VOLTS I PHASE
VALUE OF WORKS I S OO
NEW SERVICE ".❑ Overhead ❑ Underground 71 Underground up Pole
.Residential(Main) Service
C10-100 amps O101-150amps H151-200amps I amps #of Meters
❑Commercial (Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
U 0-100 amps U 101-150amps ❑151-200amps ❑ amps #of Unit Meters
Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100 amps ._I 150amps !_ 200amps U amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Oamps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool El Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) .
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS .
Li Replace Burnt/Damaged Meter Can - _—❑,Safety Inspection ❑Panel Change LOH to UG
4her: ata )cCoW Cattvcra-Ar Iskit
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 provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name i,Y) yJ ,,``) Phone Number `7 "- test-U-75
Electrical Company54f' doh CS •ck"�./ S?C Office PhonefO •1�'OS li Fax
Co.Address: �j 33'1 ' :kips ii6.64 4X03 citdfiaireuilie State Zi I6
License Holder(Print): State rtification/Registration#6CS X 71
•
Notarized Signature of License Holder
'17..:- S'worn and subscribed before m this day of OtdOtr' 20 ��
�;,;�8,, LORI A EVERETT
�u�4:State of Florida-Notary Public • . gAmi _ �t-
1. a •= Commission M GG 259257 7natUTe of Notary Publi • (�• ,(�/
%�+''1 : My Commission Expires
+�". Soptember 17, 2022