354 6th ERES18-0381 ELECTRICAL RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH ERES18-0381
ISSUED: 11/9/2018
800 SEMINOLE ROAD EXPIRES: 5/8/2019
9 ATLANTIC BEACH. FL 32233
MUST CALL • . BY
I FOR DAY INSPECTION.
ALL • .K MUST INSPECTION CONFORM TO
EDITION t OF THE FLORIDA
BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
rthat
CE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property
may be found In the public records of this county,and[here may be additional permits required from other
nmental entities such as water managemen
t districts state agencies,or federal agencies.
• • . R . •
ELECTRIC REPLACE METER $150.00
3546TH ST ELECTRICAL RESIDENTIAL CAN
TYPE OF ZONING: SUBDIVISION:
NUMBER: GROUP:
169867 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
Thompson Electric 108 E. 27th Street Jacksonville FL 32206
Company
PRITCHARD DANIEL L 13485 AQUILINE RD JACKSONVILLE FL 32224-3004
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
Rall off container company must be on City approved list. Container cannot be placed on city right-of-way.
_ y ;?+ugOCOUNT QUANTITY PAIDAMOUNT L
EUSCREPAIRSAND MISC
455-O 322-1000 0 $3500
ELECRRICAt BASE FEE
655-0000-322-1000 0 $55.00
STALE DBPRSURCHARGE
455-0 208-0700 0 $2A0
STATEDCASURCHARGE
455-0WP208-0600 0 $2A0
TOTAL:$94.00
Issued Date: 11/9/2018 c�
Electrical Permit Application "HIL INFORMATION
AppHIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY 15 REQUIRED
y- 800 Seminole Rd,Atlantic Beach, FL 32233 1- k ESI 8-b38
Phone: (904) 247-5826 Email: Building-Deot(acoati.us PERMIT a:
JOB ADDRESS:35M1 Pu a 1Da B 2233 PROJECT VALUE$150 DO ^ ,
JEA INFORMATION REQUIRED ON ALL PERMITS:BD0 AMPS WON VOLTS.1 PHASE
❑ NEW SERVICE: 0Overhead OUnderground pUnderground up Pole
Otesidential(Main)Service:
E30-100 amps M01-150amps 0151-200amps IL_amps #of Meters_
IXommercial(Main)Service:
00-100 amps 13501-150amps 0151-200amps ri amps MService_amps
Conductor Type Size
OlAultl-Family(Main)Service:
M100 amps 0101-150amps 0151-200amps []_amps #of Unit Meters_
❑TEMPORARY POLE:_amps
❑SERVICE UPGRADE:[]_amps OCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
0300amps []150amPs 13200amps []_amps EXTService_airps
❑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 III_kw
Number of Lighting Outlets, Including Fixtures:
❑OTHER ELECTRICAL PROJECTS:
[]Swimming Pool 0519n []Smoke Detectors_(Qtyl ❑Transformers KVA []Motors HP
FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
[]Replace Bumt/Damaged Meter Can []Safety Inspection []Panel Change [3OH to UG Updatei
(+]Other:Replaced damaged meter law.
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 compiled with whether
SpedRed M nOL The permit does not give authority novitiate the provisions of any other state or local law regulation construction or the Performance of
construction / ".' 904 353-1500
Owner Name FfedkThompsb / i� \ "T Phone Number
Eleeniral company' TM1ompsahElecUic Inc . Office Phone:9043531500 '. pax:aoa-ase,-snr
Co.Address.
108 E2]Ih Street City'. Jacksonville - State R ZIP32208'
License Holder: FEed�Ompson r Cer<ificenm g strancn N EC 103C
Notarized Signatureof Ucense Holder
Thefore tin instrument wast k wedged before me tht day of 20 In the
,State
,of Florida,County of
,w.,w.c DONNA LYNNE SCROSER Signature of Notary Public
Y bt NOUry Public-Slat,N floddr
• - ComMorlon#FF 013589 14 Personally Known OR[ I Produced Identification
^ ry d,i My Comm.Expire,Doc 21,2019 Type of Identification:
4 grcdotllhaph Nylons NdaYAssn.
Cash Register Receipt Receipt Number
9 City of Atlantic Beach R7310
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $94.00
ERE518-0381 Address: 3546TH ST APN: 1698670000 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DSPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-206-0600 0 $2.00
TOTAL1 1 $94.00
Date Paid:Thursday, November 08, 2018
Paid By:Thompson Electric Company
Cashier: CB
Pay Method: CREDIT CARD 2484g
Printed:Thursday,November O5,20154:49 PM lofl