566 Cruiser ERES18-0343 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0343
800 SEMINOLE ROAD ISSUED: 10/18/2018
ATLANTIC BEACH. FL 32233 EXPIRES:4/16/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL W(FNK MWST 01 NF#AM TI THE CV&TErJT 6TH EIIJTtlIttZL17,LtLLqE-ELLRaAaUl—LIFI—Nr4--
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 maybe 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:
566 CRUISER LN ELECTRICAL RESIDENTIAL $180.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1707030322 SEASPRAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
KNIGHT ELECTRIC U-C 908 S 11TH AVE JACKSONVILLE FIL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
FARWELL JOAN 190 VERACRUZ DR#138 PONTEVEDRA FL 32082
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 ORAN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be an Cityapproved list. Container cannot be placed on City riight-of�ay.
DESCRIPTION ACCOUNT QUANTITY PAIDANIOUNT
ELBE LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322 1000 16 $9.60
ELEC SWITLCH AN.FECEPTa-CUE OUTLETS 45SmCCKXE322w100O 0 $9.60
E ELE
LECTRICAL F'E
ELECTRICAL BASE FEE 455�322-1000 0 $55.W
STATE DEER SURCHARGE 455�21�0700 0 $2.00
STATE DCA SURCHARGE 455-0000�208,0600 a $2.00
I TOTAL:$78.20,
l�sued Date: 10/18/2018 :15=
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 a6sig- o343
JOB ADDRESS:— 516 cm se-f- lAm— PERMIT# &S 11h 7-3-7
JEA INFORMATION REQUIRED ON ALL PERMITS .100 AMPS Zq() VOLTS PHASE
VALUE OF WORK$ /,m-"
NEW SERVICE El Overhead ED Underground E3 Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps 151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps 101-150amps 151-200ampos ------Amps CT Service_amps
ConductorType_ Size
Muld-Family(Main)Service
0-100 amps 101-150amps 151-200amps ___.amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE Cr Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS REPAIRS BUELD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: =6-30,;;, 3 1-1 00amps —101-200amps
Appliances: 0-30amqrs 31-100amps —101-200amps
A/C Circuits: ---F-0-60amps 61-100amps
Rest Circuits: T- # circuits @ kw
Number of Lighting Outlets, Including Fi�xtures:
OTHER ELECTRICAL PROJECTS
� Swimming Pool Sign Smoke Detectors_Qty "Transformers KVA Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps_ VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Buard/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
Pennant b ..vaid if work does not tonarence within a six tnowth potiod or work issustscadod or abandoned IbM six Months. I hereby centify that I haw
read this application and knew the sans,to be ne and contract. All provisions of laws and ondirances governing this work will be ceanplied with whether
specified or not. The permit does not give audswity to violate the provisions of any other state or local law regulation constraction or the polorntance of
con.truction.
Property Owners Name TOCn Aridel.j. Phone Number
Electrical Company rA-ebT n1-TA-A(, LLC- Office Phone qffq Fak—
Co.Address: — q08 Ilk Ak %,4 1- City TAI- kk, Statef)_Zip 7?20
Plorme Holder(Print): Ifev'f- rm ate Certification/Registration# U-12(102-527
'*'71
older—
ERM L STEPP 17 IF
2
'Os'y P.bSO.Sm.at FIO"Mc Sworn and subscribed before me of Oct-
01—
lbis f 4a
C."ImO..P.......
'COMMCOMM Warts May 31.2020 Signature o
a f Notary Public /W
V
mvCash Register Receipt Receipt Number
City of Atlantic Beach R7093
PAI D
DESCRIPTION ACCOUNT CITY
PermitTRAK $143.20
ERES18-0343 Address: 566 CRUISER UN APN: 170703 0322 $78.20
ELECTRICAL $74.20
EI FCTRICAL BASE FEE 455-0000-322-1122 0 $55.00
OLD
ELECSWITCH AND RECEPTACLE OUTLETS 45S-0000 322-1 0 $9.60
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 16 $9.60
FID(TURES
STATE SUR04ARGES $4.DO
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SU 455-0009�208-96�0 0 $2,00
ERES18-0345 Ad d r6s:575 TIMBER BRIDGE Lt) At: 1 50�21�!� $65.00
ELECTRICAL $61.DD
ELECTRICAL BASE FEE 4\5-j()00-322�0001 1 1 $55.00
ELEC REPAIRS AND MISC 45�4000-322-W $6.00
STATE SURCHARGES $4.00
STATE DERR SURCHARGE 455-0000-208-0700 0 �2-0
STATE DCA SURCHARGE �2 00
TOTAL FEES PAID BY RECEIPT: R7093 $143.20
Date Paid:Thursday,October 18,2018
Paid By:STUART JONES ELECTRIC INC.
Cashier: BA
Pay Method: CREDIT CARD 1
Printed:Thursday,O=ber 18,2018 8:42 AM 1 Of I
Cash Register Receipt Receipt Number
19 City of Atlantic Beach R7095
DESCRIPTION ACCOUNT CITY PAI D
PermitTRAK $65.00
ERES18-0344 Address: 707 SELVA LAKES CIR APN: 172027 5870 $65.00
ELECTRICAL $61.00
ELECTRICAL EASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-IOM 5 $3.00
FIXTURES
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 —�3 00
STATESURCHARGES
STATE DBPR SURCHARGE 455 0000-208-0700 0 $H�'
STATE DCA SURCHARGE 455-0000-20
TOTAL FEES PAID BY RECEIPT: R7095 $65.00
Date Paid:Thursday,October 18,2018
Paid By: KNIGHT ELECTRIC LLC
Cashier: BA
Pay Method: CREDIT CARD 1
Printed:Thursday,October 18,2018 9:48 AM 1 Of 1