1549 Beach Ave. ERES18-0392 ELECTRICAL RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH ERES18-0392
800 SEMINOLE ROAD ISSUED: 11/19/2018
-ATLANTIC BEACH. FL 32233 EXPIRES: 5/18/2019
MUST CALL INSPECTION PHONE LINE (904) 247-S814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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,orfederal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK.
1549 BEACH AVE ELECTRICAL RESIDENTIAL Relocate UG Service $800.00
TYPE OF REALESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
- 1
1703110000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
UNITED ELECTRIC
COMPANYOF 5716 SAINTAUGUSTINE ROAD JACKSONVILLE I'L 32207
JACKSONVILLE
OWNER:
ADDRESS: CITY: STATE: ZIP:
CELLAR WILLIAM J 1549 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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
FLEE REPAIRS AND MISC 455 0000 3224000 0 $3500
E�ECTRICAL BASE FEE 455-0000�322-1000
0 $S500
STATE DBFR SURCHARGE 455-0000 208 0700 0 S2.00
STATE OCA S7RCHARGE _455�W208 06M -a $2M
TOTAL:$94.00
Issued Date: 11/19/2018 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0392
800 SEMINOLE ROAD ISSUED: 11/19/2018
ATLANTIC BEACH. FIL 32233 EXPIRES:5/18/2019
Issued Date: 11/19/2018 2 of 2
ELECTRICAL PERMIT APPLICATION "�i
CxTYoFATLANTxcBFAcn
800 Seminole Rd,Atlantic fleach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: 15"19 &. Cl, AV <— - PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 7-20 AMPS240 VOLTS PHASE
�VALUEOFWORK$ 940, 01
NEW SERVICE 0 Overhead El Underground E3 Underground up Pole
OResidential(Main)Service
00-100amps 0101-15(humps 0 151.200mps 0 arl a of Meters
OCOMInercial(Mahs)Service — p
00-100 amps 0101-150amps 11 151-200amps 11 am s OCT Service mps
Conductor Type Size — p
CM111ti-FamilyO�a)Servlce� —
00-100nalps -- 0101-150amps 0 151-200amps 0 not 8 #of Unit Moten
OTemporary Pole 0____,mps — I p
SERVICE UPGRADE 0-----amps 0 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps OI50amp§ 0200amps D—amps OCT Service strips
ADDITIONS,REMODELS,REPAIRS,BUELD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switcbes: --____0-30=ps 1-100amps 101-200amps
Appliances; 0-30amps 31-100amps 101-200amps
A/C Circuits: ______0-60amps 61-100amps
Heat Circuits: — # circuits @ .....jkw
NUMIeT of Lighting Outlets, Including Fixtures:
OTBER ELECTRICAL PROJECTS
OSvvimmingPool OSign DSMoke Detectors_Qty IlTransforemers KVA OMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alum Checklist)
Qty—volts/amps— VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplaoc Bmt/Damaged Meter Can 0 Safety Inspection OPanel Change OOH to UG
er: Kel'qc " 4c !A L S' r-L"-Z' 'Skj� 0�
Permit becomes void if wCa'k CIM not comnance within a six month period or writ is suspended or abandoned for six mondle. I beteby certify am I hoe
read this application and know the same to be uve and co� All pmvisious of hov,and ordinances goveming this work will be complied with whether
specified or not The pennit does not give authority to violate the Imovisions of my other Me or local Im regulation constraction or the pmflonatmoc of
cononuction.
PropettyOwmersName �VJIJ'C.� C& LLr- Phone Number 52 V— -73 2, W
Electrical Company (L4tj Ej e r— fi-,—4- Ir 34x .Office Phone-73/-Y 2 /6' Fax-73 J-�r3l
Co.Address: 5-71 1. S city 3-)c state Fl- zip3a�w-7
License Holder(Print): State Certificationagistratio,# C�C)30 o536-7
Notarized Signature qj'License Holder 4� M
Sworn and subscribed before me day of AV I d- J� 20-ty
I FIN
$r<.7% BRE�NDA Signature of Notary Public
fK� GR�Iff�!�
AI& MYCOMMISSION#GG]93116�
�_� EXPIRIS Ap�111 21IJ