560 Sherry Dr ERES18-0331 new service permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES18-0331
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 12/6/2018
ATLANTIC BEACH. FIL 32233 EXPIRES: 6/4/2019
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:
560 SHERRY DR ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE $2300.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1704690000 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: ZIP.
OWEN ELECTRIC CO INC 1775 LAKESIDE AVE ST.AUGUSTINE FIL 32084
OWNER: ADDRESS: CITY: STATE: ZIP: A
FAVER WILLIAM K ET AL 560 SHERRY DR ATLANTIC BEACH FIL 32233-5354
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.
017"Tq
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 10 $6.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $9.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $5S.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $ -
STATE DCA SURCHARGE 4SS-0000-208-0600 0 52.00
TOTAL: $74.00
Issued Date: 12/6/2018 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES18-0331
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 12/6/2018
ri"I 9' ATLANTIC BEACH. FL 32233 EXPIRES: 6/4/2019
Issued Date:12/6/2018 2 of 2
Electrical Permit Application "ALL INFORMATION
;' HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
7"; 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@cciab.us PERMIT#: IS-63 J/
I
JOB ADDRESS: 560 Sherry Dr PROJECT VALUE$$2,300.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
NEW SERVICE: 11 Overhead Mnderground oUnderground up Pole
Mesidential(Main)Service:
r-10-100 amps 0101-150amps [D151-200amps []_amps #of Meters
[]Commercial (Main)Service:
[10-100 amps 0101-150amps 11151-200amps El amps E]CT Service_amps
Conductor Type Size
OMulti-Family(Main)Service:
EID-100 amps 111101-150amps [1151-200amps []_amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: 0 amps EICT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES., ETC.):
2 loo amps []150amps [-]200amps [:]_amps OCT Service_amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 15 0-30amps 31-100amps 101-200amps
Appliances: 0 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 10
OTHER ELECTRICAL PROJECTS:
DSwimming Pool[3Sign OSmoke Detectors (Qty) OTransformers KVA [Notors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
[311eplace Burnt/Damaged Meter Can OSafety Inspection ElpanelChange E]OH to UG
Dther: Updated 10/17118
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 16ve
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.
OwnerName: William Faver Phone Number: (9(X)304-8302
Electrical Company: Owen Electric Office Phone: (911)4)824-9940 Fax:
Co.Address: 1775 Lakeside Ave C : A.Augustine State: 171 Zip: 32084
License Holder: MiCky Owen 11 tate rti atitRegistration#: ECO0009935
Notarized Signature of License Holder � UAAA 6,
The foregoing instrument was acknowledged before me thir) —da f O��the State otUQu _PFF3EW
.2 _:daVV
Si ture of Notary Public
71Personally Known OR I Produced lclentific�6jn
Type of Identification:
Cash Register Receipt Receipt Number
City of Atlantic Beach R7543
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $74.007
ERES18-0331 Address: 560 SHERRY DR APN: 170469 0000 $74.00
ELECTRICAL $70.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 10 $6.00
FIXTURES
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $9.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R7543 $74.00
Date Paid: Thursday, December 06, 2018
Paid By: OWEN ELECTRIC CO INC
Cashier: CB
Pay Method: CREDIT CARD 31432
Printed:Thursday, December 06, 2018 9:48 AM 1 of 1