331 7th ERES18-0382 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
f CITY OF ATLANTIC BEACH ERES18-0382
-�. ISSUED: 11/9/2018
800 SEMINOLE ROAD EXPIRES:S/8/2019
7 DN ATLANTIC BEACH. FL 32233
MUST CALL
Y 4 PM FOR NEXT DAY INSPECTION,
ALL • . INSPECTION• • . • • • t OF • • DA 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:
3317TH ST ELECTRICAL RESIDENTIAL Change Meter Jaws $250.00
TYPE OF ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:- -
169922 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266
OWNER: ADDRESS:
DAVIES WILLIAM 3317TH ST 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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 4550000322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-203-0700 0 52'00
STATE DCA SURCHARGE 455-mnn.QnR-0600 0 $200
TOTAL:$94.00
Issued Date'.11/9/2018 1 oft
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0382
800 SEMINOLE ROAD ISSUED: 11/9/2018
51
ATLANTIC BEACH. FL 32233 EXPIRES: 5/8/2019
Issued Date: 11/9/2018 2 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904^))2,,4(7-58126 FaQx�(�90�4�)247-5845
`OB ADDRESS: 331 �fh FfT II�UIC I.'FGU:{�) 32233 PERMIT#L- z9,?-Q38L
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS IR VOLTS �_PHASE
!�
VALUEOFWOHH$ 26i)-of
NEW SERVICE ❑ Overhead ❑ Underground ❑f Underground up Pok
Residential(Maio)Service
70-100 amps 11101-150amps 6151-200amps []---__strips #of Meters_
'-Commercial(Main)Service
70-100 amps 0101-150amps 0151-200amps ❑ amps ❑CTServiceamps
Conductor Type Size
Multi-Family(Main)Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole C amps
SERVICE UPGRADE []_____,amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 11150amps 11200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUH D-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-IMiamps
Heat Circuits: # circuits Q kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
7Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ::Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Cry volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
7 Replace Bunnmt/Damaged-Meter
lCan
,''' ❑Safetylnspection -]Panel Change DOH to UG
10ther:_hw ►hpi VA,W5
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 hue 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 violet,the provisions of my other stale or local law regulation construction or the performance of
construction. II � tr60* S
Property Owners Name 6�'� MVIi '
Phone NumberTSo-Wb�/S
Electrical Compariny. OI- Q ,Office Phone 91r/"Zf/f.�19/ Fax girl 2V e57
Co.Address: L Vl City H.Q State&Zip 324p(o
License Holder(Print): State Certification/Registration#LCLiX 24 q1
"ized Signature of License Holder �.i
=-Ni
rn d sbscribed before me this 1h day of J er20 aioxtcs ooamSignature of Notary Public I-
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