1648 SEA OATS DR - ERES18-0407 ELECTRIC FEEDER & REMODEL ;S�'L�% ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
,fr..- :,
� `" f CITY OF ATLANTIC BEACH ERES18-0407
,� 800 SEMINOLE ROAD ISSUED: 12/5/2018
''''''''4 ATLANTIC BEACH. FL 32233 EXPIRES: 6/3/2019
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:
1648 SEA OATS DR ELECTRICAL RESIDENTIAL $5700.00
TYPE OF REAL ESTATE 1 ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0234 SELVA MARINA UNIT 06
COMPANY: ADDRESS: CITY: STATE: ZIP:
IMPULSE ELECTRIC 4271 YVONNE TER MIDDLEBURG FL 32068
OWNER: I ADDRESS: I CITY: STATE: 4 ZIP:
PERRYE JEFFREY H 1648 SEA OATS DR ATLANTIC BEACH FL 32233-5836
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 AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $2.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 18 $10.80
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $22.20
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: 12/5/2018 1 of 2
�1'''17 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
�`+ ERES18-0407
�vt-,ss_ ,. CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD ISSUED: 12/5/2018
);_i_ ATLANTIC BEACH. FL 32233 EXPIRES: 6/3/2019
I
TOTAL:$99.00
Issued Date: 12/5/2018 2 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: V 2 �EA aA(S PERMIT# ((01
JEA
JEA INFORMATION REQUIRED ON ALL PERMITS 7.06 AMPS 240 VOLTS PHASE
VALUE OF WORK$ c5 7Cc.
NEW SERVICE ❑ Overhead n Underground J Underground up Pole
❑Residential (Main)Service
❑O-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps 0 C Service amps
Conductor Type Size
❑Multi-Family(Main)Service
II 0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
0Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FVEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: "*-3.-t 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: l 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: (60
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑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 ❑Panel Change ❑OH to UG
❑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 J &F ?g4 Phone Number doff- -434 - ?74 3
Electrical Company I.Hf'O G QLC Office Phone lV t '�C' I�ax
Co.Address: 421 1 VC. c-e2Vf -6 City 11al $U,& State f L Zip S2O
License Holder(Print): .Uss -6 Lit 4 tate Certification/Registration# -C L3C D 1. ?
p.
Notarized Signature of License Holder
Sworn and subscribed before me this S day of j Ye JAMIE D.SMITH
/i'Ct 2016
!tt :* MY COMMISSION#GG 255331
s: ,:o;, EXPIRES:September 5,2022
Si ature of NotaryPublic ,''
IFor f tS• Bonded Thai Notary Fabric Underwriters