1004 Snug Harbor Ct ERES18-0398 panel change permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0398
J V~ 800 SEMINOLE ROAD ISSUED: 11/28/2018
ATLANTIC BEACH. FL 32233 EXPIRES: 5/27/2019
MUST CALL INSPECTION •NE LINE (904) 2• ; • BY • PM FOR • INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, OF BEACH CODEOF ORDINANCES .
ALL CONDITIONS OF . . 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:
1004 SNUG HARBOR CT ELECTRICAL RESIDENTIAL Panel Change $1000.00
TYPE OF
• • GROUP:
171088 0120 BEACH HARBOR
COMPANY: ADDRESS:
AMERICAN ELECTRICAL 5065 ST AUGUSTINE RD APT 13 JACKSONVILLE FL 32207
CONTRACTOR
• ADDRESS:
MANN L CHARLES 165 ARLINGTON RD N JACKSONVILLE FL 32211-7863
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 SERVICE CHANGE 455-0000-322-1000 200 $50.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
Issued Date: 11/28/2018 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
t CITY OF ATLANTIC BEACH ERES18-0398
800 SEMINOLE ROAD
ISSUED: 11/28/2018
ATLANTIC BEACH. FL 32233 EXPIRES: 5/27/2019
Issued Date: 11/28/2018 2 of 2
Electrical Permit Application "`ALL INFORMATION
�� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: BUlldln -Dept[ COaIJ.Lil . PERMIT#:L S�
JOB ADDRESS: 1004 Snug Harbor Court Atlntic Beach, FL 32233 PROJECT VALUE $$ 1,000.00
IEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
�j NEW SERVICE: ElOverhead I]Underground []Underground up Pole
(Residential (Main)Service:
00-100 amps 0101-150amps E1151-200amps ❑ amps #of Meters
❑Commercial(Main)Service:
❑0-100 amps 13101-150amps 11151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
'OMulti-Family(Main)Service:
❑0-100 amps 0101-150amps [1151-200amps c)-amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps OCT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
173100amps ❑150amps ❑200amps ❑ amps ❑CT Service_..____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 Fixtu-es: _
❑ OTHER ELECTRICAL PROJECTS:
❑Swimming Pool❑Sign []Smoke Detectors (Qty) ❑Transformers KVA []Motors HP
F] FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection aanel Change ❑OH to UG
Updated 10/17/18
❑Dther:
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 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.
Owner Name:. �� 1��, �F` Phone Number: (904)5914740
Electrical Company: American Electrical Contractors Office Phone: (904)737-7770 Fax:
Co.Address: 5065 St Augustine Rd. City: Jacksonville State: FL Zip: 32207
%�J i EC13007311
License Holder: Earl W. Frick // - tate Certification/Registration#:
Notarized Signature of License Holder -
� goigg struzrtent ws7o kn ledged before me this nda of NJ 20� in th State of Florida, County of �Q
Angel w ,,00xs
«R My .,Omrvss4or -,G 268614 Signature of Notary Public
Expires ,0/17'2':22
0yPersonally Known OR[ J Produced Identification
cf ldentificatlor.: