536 Beach Avenue TEMP18-0044 /�t111Y�
Cash Register
y r it ReceiptReceiptNumber
aw City of Atlantic Beach R7371
$223
PermitTRAK
ERESSS-0388 Address:536 BEACH AVE APN: 1701460000 $129.06' `
$125.00
ELECTRICAL
ELECTRICAL BASE FEE
455-0000-322-1000 0 $55.00
455-0000-322-1000 200 $]0.00
ELEC NEW SINGLE FAMILY $400
STATESURCHARGFS
STATE DBPR SURCHARGE
455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE
455-0000-208-0600 0 $2.00
TEMP18-0044 Address: 536 BEACH AVE APN: 170146 0000 $94.00
$90.00
ELECTRICAL0 $35.00
ELEC TEMP SERVICE 455-0000-322-1000
ELECTRICAL BASE FEE
455-0000-322-1000 0 $55.00
$4.00
STATE SURCKARGES $2.00
STATE DBPR SURCHARGE 455-0000-208-0]00 0
STATE DCA SURCHARGE
455.000D-208-0600 0 $2.00
$223.00
,TOTAL
Date Paid:Thursday, November 15,2018
Paid By: CES ELECTRICAL SERVICES INC
Cashier: BA
Pay Method:CREDIT CARD 8
Printed:Thursday,November 15,20182:53 PM 1 of 1
R�•11
ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
J CITY OF ATLANTIC BEACH TEMP18-0044
ISSUED: I1/15/2018
800 SEMINOLE ROAD EXPIRES: 5/14/2019
• oN ATLANTIC BEACH. FL 32233
MUST CALL
Y 4 PM FOR NEXT DAY INSPECTION.
• . INSPECTION• • . • • . • r OF • • • BUILDING
ALL
CODE, NEC, IPIVIC, 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.
536 BEACH AVE ELECTRICAL TEMP POLE $500.00
TYPE • SUBDIVISION:
•
CONSTRUCTION: NUMBER:
• .
ATLANTIC BEACH
170146 0000
COMPANY: ADDRESS:
CES ELECTRICAL SERVICES 523 ELLIS ROAD SOUTH JACKSONVILLE FL 32254
INC
OWNER: CITY: STATE: ZIP:
rr •
SHERMAN LEAH 536 BEACH AVE 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
DESCRIPTIONACCOUNT QUANTITY PAID AMOUNT
ELEC TEMP SERVICE
455-0000-322-1000 0 $3500
ELECTRICAL BASE FEE
455-0000322-1000 0 $5500
STATE OBPR SURCHARGE
455-0000-208 0700 0 $2 00
STATE DCA SURCHARGE
455-0000-2080W0 0 $3 W
TOTAL:$94.00
Issued Date: 11/15/2018
From: 11/16/2016 10:92 0106 P.002/006
Electrical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233 /
Phone (904 247 5826 Email Building-Dept@coab.us PERMIT#: -6dq
JOB ADDRESS: _ Ff,`„' _ _ +) r � -� a-r„ $; PROJECT VALUE$2:.I _
JEA INFORMATION REQUIRED ON ALL PERMITS: '-AMPS' ' VOLTS ' PHASE
-I LfrtQARu/�pe C
0 NEW SERVICE: 13 overhead [3Underground OUnderground up Pole
17tesidential(Main)Service:
130-100amps [3101-150amps 13151-200amps d amps If of Meters_
13commercial(Main)Service:
D0-100 amps 13101-150amps 13151-200amps Q_--amps [3CTService amps
Conductor Type Size
CIMulti-Family(Main)Service:
1'-100 am s 13701-150amps E3151-200amps [3amps #of Unit Meters_
TEMPORARY POLE: amps
❑SER VICE UPGRADE: ❑ amps OCT Service amps
❑NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
®100 amps )]150amps 0200amps Q amps MService_amps
❑ 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:
aSwimming Pool❑sign []Smoke Detectors (City) ❑Transformers KVA []Motors HP
❑FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can []Safety Inspection E]Panel Change []OH to UG
Dither: Undated10117118
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 provislons of laws and ordinances governing this work will be complied with whether
specified or not The permit does not give uthonty to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Owner Name. # -. ' Phone NumberLffm'p - F
Elecrical Company Office Phone � - Faq
-�--S:W53
Co.Address::r 'r�^ " City.-a State:A Zip:ANIN
License Holder:_l "+i... &M Kam,M> ..;;6 -os a.m ms
.'` -State Certification/Registration p .�,�.
Notarized Signature oJOcense Holder
The foregoing instrument was acknowledged before me this d of 0 t e to f Florida,County of u
,a.
th
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mcogigiS510NIFFM1011 Signzt re of Notary Publi
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