1360 OCEAN BLVD - ELECTRIC ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
�+ .. IA
CITY OF ATLANTIC BEACH ERES18-0399
,� ISSUED: 11/28/2018
800 SEMINOLE ROAD
\ L ATLANTIC BEACH. FL 32233 EXPIRES: 5/27/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 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.
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:
1360 OCEAN BLVD ELECTRICAL RESIDENTIAL ELECTRICAL- 6 FIXTURES $2200.00
TYPE OF REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171849 0000 MANDALAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
BARKOSKIE ELECTRICAL JACKSONVILLE
48 S PENMAN RD FL 32250
SERVICE, BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
SHOCKLEY JAMES ANDREW 1360 OCEAN BLVD ATLANTIC BEACH FL 32233-5744
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
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 6 $3.60
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: $62.60
- I
Issued Date: 11/28/2018 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 R GS/6 -10E5?
JOB ADDRESS: / 36 0 1-7d-14J 45L4/2), PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /5Z� AMPS > VOLTS / PHASE
VALUE OF WORK$ Z2,c7:-v��
NEW SERVICE ❑ Overhead n Underground nJ Underground up Pole
❑Residential(Main)Service
L10-100 amps ❑101-150amps u 151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps 1CT Service amps
Conductor Type Size
ti Multi-Family(Main)Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps [_l 150amps ❑200amps ❑ amps LICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: (p 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: 4,
OTHER ELECTRICAL PROJECTS
El Swimming Pool LJ Sign ❑Smoke Detectors Qty ❑Transformers KVA [Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
'IReplace Burnt/Damaged Meter Can IJ Safety Inspection i l Panel Change ❑OH to UG
L_1 Other:
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.
Property Owners Name t 11711/ —7 5-16C/&&meq Phone Number 995 '6'b A.
Electrical Company Ays/ /� t D2+G [ Office Phone -4647 3 r Fax 2-#45'69/7
Co. Address: 3 S
� l "7T-E7e / "cCity %.M State Zip 322.E
License Holder (Print): .4111 49/i- ---S, State Certification/RegistrationfC/5CX' Z.387
Notarized Signature of License Hold / ..D / ,4--/.147
����" ALBERT MORENO d�N,
`,��,. �Le,, Before me this a�`o •, It veY20 I B
r°" ,`�- Notary Public Stage of Florida•: ‘ :• commission#FF 239295 Signature of Notary Public _.:4 �'c�3f c- I r�Ev+G
•'•?r 44,-r;= My Comm.Expires Jun 9,2013
�'FO t°:s Bonded through Notional Notary Asan.