562 Timber Bridge ERES18-0385 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0385
800 SEMINOLE ROAD ISSUED: 11/14/2018
' v ATLANTIC BEACH. FL 32233 EXPIRES:5/13/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814
Y 4 PM FOR NEXT DAY INSPECTION,
ALL • • • • • • • • • I OF • • • .
BUILDING
CODE NEC, IPMC, AND CITY OF • • OF ORDINANCES ,
�U- 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.
ADDRESS: PERMIT TYPE: DESCRIPTION: VALUEOFWORK:
562 TIMBER BRIDGE LN ELECTRICAL RESIDENTIAL 200 Amp 240 Volt New
$3500.00
Service
TYPE • r
• • ZONING: SUBDIVISION:
169505 2140 ATLANTIC BEACH
COUNTRY CLUB UNIT02
COMPANY: ADDRESS:
MC DONALD ELECTRIC 6915 WEST BEAVER ST JACKSONVILLE FL 32254
• ADDRESS: CITY: STATE: ZIP:
TOLL FL VI LIMITED
PARTNERSHIP 250 GIBRALTAR RD HORSHAM PA 19044
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 4550004322-1000 300 $70.00
ELECTRICAL BASE FEE 455-0004322-1000 0 $55.00
STATE DERR SURCHARGE 455-0000-208-0700 0 $300
STATE DCA SURCHARGE 455-0000-208-0600 0 $2,00
Issued Date: 11/14/2018 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
F5
CITY OF ATLANTIC BEACH ERES18-0385
800 SEMINOLE ROAD ISSUED: 11/14/2018
ATLANTIC BEACH, FL 32233 EXPIRES:5/13/2019
� TOTAL:$129.00
Issued Date:11/14/2018 2 of 2
ELECTRICAL PERMIT AppLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 (J C
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS:— S Col T m lror 3r rcL�e iJ PERMIT# Res(g ao¢
JEA INFORMATION REQUIRED ON ALL PERMITS �^ AMPS 2` 0 VOLTS I PHASE
VALUEOFWORH$ p . '�o
NEW SERVICE ❑ Overhead Underground ❑1 Undergromd up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amters
ps #of Me
17Commercial(Maio)Service —
❑0-100 amps 0101-150amps ❑151-200arni ❑ amps OCT Service amps
Conductor Type Size —
❑Multi-Family(Main)Service
00-100amps 0101-150amps ❑151-200amps 0 amps #of Unit Meters
[]Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service—amps
NEW FEEDER(ADDTTIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps ❑ amps ❑CTService—amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
rAmlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits (e3 kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectm_Qty 0Tmosf0nners KVA ❑Mot0rs_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAILS/MISCELLANEOUS
❑Replace Bur non amaged Meter Can ❑Safety Inspection []Panel Change ❑OH to UG
❑Other:
Permit becomes void dwork does not commence within a six month period or work is suspended or abandoned for six months. I heroby certify that 1 have
read this application and know the same to be one and coned A I provisions of laws and ordinmces governing this work will be complied with whether
specified or not The permit does not give authority to violate the provisions afoot'other state or local law regulation construction or the performance of
construction.
Property Owners Name--- l^o// �Bro#L-rs Phone Number
Electrical Company MCr✓�"u eia& .J Office Phone 90 -$6-4'f 73 Fax q#•2g-1f W
Co.Address: L32�// tAj• 6eayft s �' City(�¢C ,?Vi11B StataZZ Zip$2255/
License Holder(Print): zaegp 06 o 'fication/Re stm—�n# ECXl795/
N at- pf License Holder n 7•cv--rc,
':.s Notary Pamir s r ,iiaa �Swom subscribed before me this /1"t day of No k 2011
Commission a FI sl"9"
My Comm.expire:osris.zoi 95iglature of Notary Public - —/
Bmi0e0 nioagp Nalianal llaiay Fssr.