364 7TH ST - ELECTRIC OUTSIDE cv''''
'%� ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r. 'tCITY OF ATLANTIC BEACH ERES18-0387
'` �"
800 SEMINOLE ROAD ISSUED: 11/15/2018
`:;yrs»' ATLANTIC BEACH. FL 32233 EXPIRES: 5/14/2019
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:
364 7TH ST ELECTRICAL RESIDENTIAL Outdoor Kitchen & Pavers $1000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169901 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
DECO ELECTRICAL 13046 DUNN CREEK RD JACKSONVILLE FL 32218
CONSTRUCTION
OWNER: I ADDRESS: CITY: STATE: ZIP:
NOVAK EMILY E 364 7TH ST ATLANTIC BEACH FL 32233-5434
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 2 $1.20
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
1 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $60.20
Issued Date: 11/15/2018 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845 E_1 a S i 8 - o e7
JOB ADDRESS: �; L) t- Ls T PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ace, AMPS Li 0 VOLTS ) PHASE
VALUE OF WORK$ 10 CO
NEW SERVICE ❑ Overhead ❑ Underground nJ Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps amps # of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps amps OCT Service amps
Conductor Type Size
El Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps a amps #of Unit Meters
El Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps 0 CT 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:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty 0 Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged MetJerr Can
( ` ❑Safety Inspection ❑Panel Change DOH to UG
LI Other: o,1cl D d r 1 l.�`/-d1 e A
Permit becomes void if work does not commence vv ithin 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. J
Property Owners Name 1/m It Iv �C}tls/ Phone Number
Electrical Company Decki ed-Y lc c,.( CtelnStiUc r6itA Office Phone 567-o? eir Fax
Co. Address: L� U d /l City_ Gt ,State 7 ZiTh3k7A/
License Holder(Print): re hoc/ 9 - 'S 4 State Certification/Registration#1^!{1& 19P2/
11.jatat;ized.S a1:__ Holder .1, 0�1�
" ,liEFekgc` TONi GINDLESPERGER V
y *: MY COMMISSION#FF 924951 Sworn and subscribed before his i t] •ay of \j 0 tl 20
.1
,••,r .— EXPIRES:October 6,2019
tO ^ j4.' Bonded ThruNotary Public Underwrters Signature of Notary Public Q_ ♦ ,. f
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City of Atlantic Beach Cash Register Receipt
Recei t Number
R7747
DESCRIPTION I
PermitTRAK ACCOUNT I QTY I
PAID
ERES18-0387 Address: 364 7TH ST
APN: 169901 0000 $55.00
ELECTRICAL FINAL**12/10/2018 RBE
ELECTRICAL FINAL**12/10/2018 RBE $55.00
TOTAL
4550000322100255
FEES PAID BY RECEIPT: S .00
R7747 0
$55.00
$55.00
Date Paid: Thursday,January 03, 2019
Paid By: DECO ELECTRICAL CONSTRUCTION
Cashier: BA
Pay Method: CREDIT CARD 1
Printed:Thursday,January 03,2019 8:30 AM
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