536 Beach Avenue ERES18-0388 Cash Register Receipt Receipt Number
City of Atlantic Beach R7371
NO
DESCRIPTION ACCOUNT CITY PAID
P*11"XI'Llm
PermitTRAK $129.00
ERES18-0388 Address:536 BEACH AVE APN: 170146 0000 $125.00
EILECTRICAL $55.00
ELECTRICAL BASE FEE 4 $70.W
ELEC NE $4.00
STATE SURCHARGES
STATE 0 BPR SU RCHARG E 455-0000-208-0700 0 $2.00
$2,00
STATE D SURCHARGE 455-DUUU-1u�-�-u- 1 1 $94.00
TEMPIS-0044 Address:536 BEACH AVE APN: 1701"0000 $90.00
ELECTRICAL $35.00
ELEC TEMP SERVICE 455-0000-322-1000 $55.00
ELECTRICA1 QA���FF $4.00
STATE SURCHARGES $2.00
STATE DBPR SURCHARGE 00 0
i 455-000�209-131,00 $2.00
11111201111ma $223.00
TOTAL FEES PAID BY RECEIPT: R7371
Date Paid:Thursday, November 15, 2018
Paid By:CES ELECTRICAL SERVICES INC
Cashier: BA
Pay Method:CREDIT CARD 8
Printed:Thursday,November 15,2018 2:53 PM 1 of I
ELECTRICAL RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH ERES18-0388
ISSUED: 11/15/2018
800 SEMINOLE ROAD EXPIRES: 5/14/2019
ATLANTIC BEACH. FL 32233
A-1-L-114
CODE, NEC, IPIMC, 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.
JOBADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
536 BEACH AVE ELECTRICAL RESIDENTIAL 200 Amp 240 Volt New $10900.00
Service
TYPE OF REALIESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1701460000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
CES ELECTRICAL SERVICES 523 ELLIS ROAD SOUTH JACKSONVILLE FL 32254
INC
OWNER: ADDRESS: CITY: STATE: ZIP:
SHERMAN LEAH 536 BEACH AVE ATLANTIC BEACH FL 32233
NOTICE In add Ition to the requ
that may be fo u ndinthe pu kill
go m ta I tri s such 5 w
5vem en en e a cirements of this P
reco rds of th is cc
atermanagemet
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 I QUANTITY PAID AMOUNT
ELEC MEW SIN AM y 455 WOO 322 10M
_ L- -- 55.00
E OT�7
LE �L aLA'I�E FE1'
STATE DBPR SURCHARGE
STATE DCA SURCHARGE 455 WOO 208 06M 0 $2.00
TOTAL:$129.00
Issued Date:11/15/2018
Fla.: 1 0:33 fflub P 003/00a
Electrical Permit Application "ALL INFORMATION
HICHLIGHTED INA
R
City of Atlantic Beach Building Department 31
800 Seminole Rd, Atlantic Beach, FIL 32233 tL-63&
Phone: (904) 247-5826 Email: BLJ1ding-DeptPcoab.us PERMIT#: � I e
JMAWRES&_ ') X, F)L:)Ut OX�- —' PROJECT VALUE$ 10)9 co,00tIT- F
I LA RE�, -- l 'A -c2S3 I
JEA 111,111-0111M WALL PERMITS:-21LAMPS"VOLTS PHASE
kN EW SERVICE: found Xndergroundup Pole
93Residential(Main)Service;
[30-100amps [3101-150amps 0251-200amps mps #of Meters—
ClCommenclal(Main)Service: )1�1
Do-icioamps [31ol-isoamps 13151-200amps CL—amps E)CT Service_amps
Conductor Type Size
CiMulti-Farrilly(Main)Service:
[30-10oamps 13101-150amps 13151-200amps E3 amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE:Q—amps EICT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETCJ:
13100amps [3150amps 13200amps CL_amps MService_amps
0 AoorriONS, 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:
El OTHER ELECTRICAL PROJECTS:
[35wimming Pool[]Sign OSmoke Detectors_(Qty) orransformers_KVA []Motors HP
F-1 FIRE ALARM SYSTEM (Requires 3 sets of plans):
Oty—volts/amps
REPAIRS/MISCEULANEOUS:
DReplace Burnt/Damaged Meter Can OSafety Inspection []PanelChange []OH to LIG
O)ther: UldoWdI0117118
Permit becomes void if work does not cormn.nce within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
mad this application and know the same to be true 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 violate the provisions of any other state or local law regulation construction or the performance of
construction,.
ar
Owner IN Q~ Pharr,N.mber:
Electrical C0TPdnY <�ViC?*,� �h... C10Y- 'N3 -qS4?S
Co.Address: -5-� 3 -S FA-� k LIP
V—S c"y
License Holder; �tate Certification/ReCistratior 4
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this 15diryoftv'Ovelf, 2K 1,
1,44 201k'��te Florida,County of b(A.V64
,0t'-",sto DEBMJWZ4M Signature of Notary Public
ILZI . 1Z.
MYCDMMISSNIFF2Mt8
&�A mn,1h,vnm.,n no r I D�A-�IA-111-
M EARLY POWER AGREEMENT & RELEASE
Ze
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement& Release
Job Address:
Ze4,4 ,�c-l-,,,4 S 2 ? SS
7
Permit No. 9 0 Z 3-3 Service Type(Circle One): Overhead=Underground
We,the undersigned General Contractor and Electrician, understand and agree:
I. "Early Power" is purely for our construction convenience. it is not required by Codes. and does not
substitute for Final Inspections or the CIO(Certificate of Occupancy7t at must be issued before occupancy,
and as such is at the discretion of the Building Official.
2. The Cit
.y of Atlantic Beach will make a special inspection prior to the early power energizing. All rough
inspections must have prior Approval, including meter base connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the carly
electric service, Such action is expressly prohibited and penalized by The City of Atlantic Beach
Ordinances. A violation of this Agreement'shall result in a request for prompt removal of electric service
after a twenty-four hour notice.
4. "Eartypowce'release authority is the Electrician and/or the Contraglor and must not occur before:
a. E
PainucTment,devices and fixtures are installed(or blanked off)safely.
b. s complete with breakers and cover,and(labeling required dt final inspection).
C. Service connection and grounding is complete.
d. The electric system has safely passed through electrical check.
e. Meter can is bermanentIv marked with address.
f. Temporary aadress numbers displayed(Permanent numbers are required for C/O).
5. This fully completed form is to be submitted to the Building Department by hand,mail or fax.
6. Future such Agreements will not be accepted from those who violate anyone of the above items.
20
CONTRACTOR DATE
PRINT NAME P,�/, Tel C 'f,
ELECTRICIAN DATE
PRINTNAME
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://ww�v.cotib.tis revised013009