346 Sargo ERES18-0410 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
J T CITY OF ATLANTIC BEACH ERES18-0410
800 SEMINOLE ROAD ISSUED: 12/7/2018
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ATLANTIC BEACH. FL 32233 EXPIRES: 6/5/2019
CODE, NEC, IPMC, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
FNOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property
befound in the public records of this county,and there may be additional permits required from other
ental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VA I LUE OF WORK:
346 SARGO RD ELECTRICAL RESIDENTIAL ELECTRIC REPLACE JAWS $250.00
TYPE • BUILDINGSUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:•
ROYAL PALMS UNIT
1716860000 02A3.00
COMPANY: ADDRESS:
CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266
• ADDRESS:
ROOS ERLINDA C 346 SARGO RD ATLANTIC BEACH FL 32233-3814
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 PAIDAMOUNT
ELECREPAIRSANDWSC 455-0000-3221000 0 $3500
ELECTRICAL BASE FEE 4550000-322-1000 0 $5500
STATE DB PR SURCHARGE 455 MO-208-0700 0 $200
$
STATE DCA SURCHARGE 455-0000-2080600 0 $2,00TOTAL:$94.00
Issued Date:12/7/2018 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 f�
�Ph(904)247-58126 Fax(904)247-5845 EI �S 8 —C)L410
JDOB ADDRESS: J(�
L�Y((/ t (I�Q -Q- 322 '3 3PERMIT#
JEA INFORMATION REQUIRED ON ALLPERMITSell D AMPS 9110 VOLTS �_PHASE
VALUE OF WORK$ 0 so 00
NEW SERVICE ❑ Overhead ❑ Underground 0 Underground up Pole
❑Residential(Main)Service
=0-100 amps ❑101-150smps ❑151-200amps ❑ amps #of Meters
-Commercial(blain)Service
❑0-100 amps 0101-150amps 11151-200amps ❑ amps OCT Service amps
Conductor Type Size
-1 Multi-Family(Main)Service
i0-100 amps E1101-150amps 0151-200amps ❑ amps 9o Unit Meters
Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps []_____amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
® A/C Circuits: 0-60amps 61-1100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
uSwimming Pool ❑ Sign OSmoke Deuctors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
.'Replace Burnt/Damaged Meter Can ❑Safety Inspection [ Panel Change ❑OH to UG
JOther: ( .( n
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for site months. I hereby certify that I have
read this application and know the same to be true and cored. 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 share or local law regulation construction or the performance of
construction. p �c-
PropertyOwners Name ( Phone Number /� '•9J✓
Electrical Company 62tice P""",,,h���ttto'''n'''e��',,�,, 'ogoy 0 tl�F(
Co.Address: p _ p City 0 i�2A(( tate r f Zip �D�p
License Holder(Print): s� 'Ltrv`^t"'-� ' I State Certification/Registration# ,!�U3 V0 Z (-I
C"farized Signature of License Holder I^�
w. •, m.tuaw Sworn and su scribed beforeme this day o 200
J?' �'! nYCAnY15&GNOGGOOB1fi
EXPIRES:JUMPr,ne2r=2Vio Signature of Notary PbkA 121
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