1870 N SHERRY DR ERES18-0414 ELECTRICAL RESIDENTIAL PERMIT -5
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0414
800 SEMINOLE ROAD
ISSUED: 12/11/2018
ATLANTIC BEACH. FL 32233 EXPIRES: 6/9/2019
MUST CALL INSPECTION • • 914FOR NEXT DAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D+ 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:
1870 N SHERRY DR ELECTRICAL RESIDENTIAL Electric for Bath Remodel $500.00
TYPE OF
ZONING: :D •
• • GROUP:
1720200836 SELVA MARINA UNIT
10C
COMPANY: ADDRESS: CITY: STATE: ZIP:
CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266
• ADDRESS:
MAYHEW WILLIAM E 1870 SHERRY DR N ATLANTIC BEACH FL 32233-4517
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 . •
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 REPAIRS AND MISC 4S5-0000-322-1000 0 $35.00
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
TOTAL: $94.00
Issued Date: 12/11/2018 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 /p
OB ADDRESS: 32Z?j PERMIT# �(0 �
esl -�3
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VAL UE OF WORK$ 50D•00
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
Residential(Main) Service
—0-100 amps 101-150amps 0 151-200ampsamps #of Meters
Commercial(Main) Service
-'0-100 amps _101-150amps 151-200amps amps CT Service ,
Conductor Type Size -
Multi-Family(Main)Service
00-100 amps101-150amps E 151-200amps a amps #of Unit Meters
❑Temporary Pole amps
SERVICE UPGRADE __j amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps 7 amps ❑CT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31A00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-160amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool _] Sign ^Smoke Detectors_Qty 7]Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VAL UE OF WORK$
REPAIRS/MISCELLANEOUS
[-"Replace Burnt/Damaged Meter Can E;Safety Inspection C:'Panel Change ❑OH to UG
1 Other: XI`
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. '{ d
Property Owners Name il`j S\ ,r Phone Number
Electrical CompanyOInt . Office Phone Fax ' � 37 q
-#�
Co. Address: Q City ('- Q��I State Zip
' ;-ense Holder(Print): State Certification/Registration# 3 qq
11carized Sianature .i nc older
''r""•., JILLIANWALKER
P. MY COMMISSIONdGGD06111 Sworn subscrib d befor me this day _;� �_20R___
Ev; oma: EXPIRES:June 27,2020
N•NJi�?:��$ BondedTtruNotaryPublicUndenNriten Signature of Notary Public