1731 Seminole ERES18-0365 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES1 ED
ISSUE :
365
D:
800 SEMINOLE ROAD
EXPIRES:
ATLANTIC BEACH. FL 32233
MUST CALL NE LINE (941247-5814 r
• •CONFORM •• EDITION t OF • • • . BUILDING
ALL WORK MUST
THE
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS
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.
r • • • I
1731 SEMINOLE RD ELECTRICAL RESIDENTIAL ONE FIXTURE $100.00
• rSUBDIVISION:
TYPEZONING: GROUP:
CONSTRUCTION:
• OCEAN GROVE UNIT 02
1696420000
• rr •
• . rr •
LAURIN SUZANNER 103786TH CT NVJ CORALSPRINGS FL 33071
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNTj11UANTj PAID AMOUNT
1S59.60
7ELEC LIGHTIN60UTLETS,INCLUDING FIXTURES 455-0000-311-1000
ELECTRICAL BASE FEE 4550000 322-1WBSTATE DBPR SURCHARGE 0000-3080)00STATE DCA SURCHARGE 455-0000-2080600
TO
S oft
Issued Date:
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
n Ph(90/4)247-5826 Fax(904)247-5845
JOB ADDRESS: // /�dG��L �i ��.�� PERMIT#
JEA INFORMATION.REQUIRED ON ALL PERMITS AMPS BOLTS PHASE
ev
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑f Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 11101-150amps 0151-200amps ❑ amps DCT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
❑0-100 amps ❑101-150amps - 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole []_______amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ❑CT Serviceamps
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 @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[]SwimmingPool ❑ Sign []Smoke Detectors_Qty ❑Transformers KVA ❑Motmshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WOR%$
REPAIRS/]MISCELLANEOUS
❑Replace Bumt/Damagedd Meter Can. El Safety Inspection L ❑Panel Change ❑OHto U/G � "fJfco✓
YOther�j�-L .Lff/fS/4 "'4A' /vwt YJz7./rt 9 IJ ��[� C{�✓f' !�'t
Pemdt becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby cuffiy that I have
read this application and know the same to be area and correct. All provisions of laws and ordinances governing this work will be wmplied 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
constntnion. ///
Property Owners Name
`rTd",!/ J�T�'r'Y fy L 40ra /Phone Number
Electrical Company Office Phone Fax
Co.Address: City State_Zip
License Holder(Print): State Ication/Registration#
N nse older
i'n
MY
PIRES acus s,2951
I> ExPwEs eaPub r U zots Swore and subscribed before is of 20
y SI BonE n NNaY Pub4a llnEar,Nni rs
�-= Signature of Notary Public 0c�