663 SELVA LAKES CIR - ELECTRIC C
,- , ELECTRICAL RESIDENTIAL PERMITPERMIT NUMBER
s� ERES18-0390
CITY OF ATLANTIC BEACH
r800 SEMINOLE ROADISSUED: 11/19/2018
U': 9` V ATLANTICBEACH FL 32233 EXPIRES: 5/18/2019
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.
VOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
hat may be found in the public records of this county, and there may be additional permits required from other
:overnmental entities such as water management districts, state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
663 SELVA LAKES CIR ELECTRICAL RESIDENTIAL Remodel Wiring for Kitchen $2500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172027 5892 SELVA LAKES UNIT 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
AGEMASTERS ELECTRICAL 45102 MUSSLEWHITE RD CALLAHAN FL 32011
INC
• OWNER: i ADDRESS: CITY: STATE: ZIP:
BYERS NANCY B 13753 NIGHT HAWK CT JACKSONVILLE FL 32224
(YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
;OMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
NSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
toll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $10.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 12 $7.20
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $15.00
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 $2.00
Issued Date: 11/19/2018 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 / - d 3 iO
Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: ‘6 3 Se /VA Z 4 4-e S C. e . PERMIT# , �S /8 0 S/
JEA INFORMATION REQUIRED ON ALL PERMITS 0 U AMPS 2`t 0 VOLTS ( PHASE
VALUE OF WORK$ 2 50 0
NEW SERVICE El Overhead n Underground nT Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 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 ❑150amps 0200amps ❑ amps El CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 50-30amps 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: I 2_
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign Cl Smoke Detectors ( Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection /�Li Panel Change ❑OH to UG
❑Other: 1 --r T 0 e4 / Cv:c,',✓ i c K;
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 , / C y I )r a.c-S Phone Number
Electrical Company Pa 5 Ash, Ter. . r•A'C ,fogOffice Phone?06f-1053"?3//'ax
Co. Address: 9!'Dd2 /ncr SSe City CA4-(IA-,01-' State (/ Zip 3,)-a /1
License Holder(Print): 77-4/it/o 7I y g Pas State Certification/Registration# 6-'2 13U /.29 i
Notarized Si_a_ature of I irons, der -
:iA""`" -. JAMIE D.SMITH
MY COMMISSION#GG 255331 OM and subsc ed before me this 11
t . • '0V' 20 1&
A EXPIRES:September 5,2022
'4.56°!:•
B0 Pubic underrrrners 'ignature of Notary Public 471,