594 COASTAL OAK LN ERES18-0293 ERES / )
":0--Ali%1, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
��.,- CITY OF ATLANTIC BEACH ERES18-0293
\Y ISSUED: 12/18/2018
800 SEMINOLE ROAD i
'',..o';19~ ATLANTIC BEACH. FL 32233 EXPIRES: 6/16/2019
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:
594 COASTAL OAK LN ELECTRICAL RESIDENTIAL 150 Amp 240 Volt Single $6200.00
Phase UG
i
TYPE OF i REAL ESTATE I ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: I GROUP:
169505 2020 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
STRADA ELECTRIC &
SECURITY 3400 ST JOHNS PARKWAY SANFORD FL 32771
OWNER: ADDRESS: CITY: STATE: ZIP:
Riverside Homes of North 414 OLD HARD RD STE 502 ORANGE PARK FL 32003
Florida
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 NEW SINGLE FAMILY 455-0000-322-1000 150 $60.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 12/18/2018 1 of 2
•
,,11.%\4If 6 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r yt0 .'o ERES18-0293
rsVr CITY OF ATLANTIC BEACH ISSUED: 12/18/2018
800 SEMINOLE ROAD
j 9� ATLANTIC BEACH. FL 32233 EXPIRES: 6/16/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $119.00
Issued Date: 12/18/2018 2 of 2
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° Cash Register Receiptt Receipt Number
; ss,.,
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2 City of Atlantic Beach R7661
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $119.00
ERES18-0293 Address: 594 COASTAL OAK LN APN: 169505 2020 $119.00
ELECTRICAL $115.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 150 $60.00
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: R7661 $119.00
CITY CiF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC BEAC,FL 32233
1218;2018 14:45:19
CREDIT CARD
VISE,SALE
Card« XXXXXXXXXXXX3791
SEQ#: 4
Batch g: 754
INVOICE 5
Approval Code: 318154
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: M
SALE AMOUNT $119,00
CUSTOMER COPY
Date Paid:Tuesday, December 18, 2018
Paid By: STRADA ELECTRIC &SECURITY
Cashier: BA
Pay Method: CREDIT CARD 5
Printed:Tuesday, December 18,2018 2:46 PM 1 of 1 or
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH e 1 O¢_o n
800 Seminole Rd,Atlantic Beach,FL 32233 t q
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: `\ C sic' 4- C c r e . PERMIT#atESIV 6213
JEA INFORMATION REQUIRED ON ALL PERMITS ,'V AMPS g`-4(JOLTS PHASE
VALUE OF WORK$ (_0(a0
NEW SERVICE ❑ Overhead 'nderground ❑i Underground up Pole
(Residential(Main)Service
00-100 amps 101-150amps C'151-200amps amps #of Meters
0 Commercial(Main)Service
20-100 amps 101-150amps 151-200amps amps :ICT Service amps
Conductor Type Size
Multi-Family(Main)Service
D0-100 amps 101-150amps 151-200amps amps #of Unit Meters
2 Temporary Pole amps
SERVICE UPGRADE amps is CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 7:150amps 7200amps amps [MCT 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 61-100amps
Heat Circuits: #circuits a kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
:Swimming Pool 7 Sign :Smoke Detectors Qty OTransformers KVA _.:Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
7_Replace Burnt/Damaged Meter Can :Safety Inspection :Panel Change DOH 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. `/ r� (� ,n� n
Property Owners Name\\Y -r S\1. \i �11 V vC co Phone Number 877 - 7)06, —ME
Electrical Company 9)Z'It'\.(Q as z•"'�) C-�Ucs�4r A j Office Phonki— as 15 Faxt-Oc )� �--
Co. Address:( -0) (p \Y)5 CityY? Y State 25—Pan
License Holder(Print): , .,' UM, j=t4iiification/Registration# EURY5)j�! J
Notarized Signature of License Holder /11111I!'ilr
•
� ; ''' STEPHANIE RALLO Sworn and subscribed :- ore me t�" _ •ay of %._.'1mmor ,4Mj
Commission#be 17501! • ��/� � 4 A � ��r/
a Expires November 9,2o1s Signature of Notary Public 'T,�l�
H F 0l1 Ro'Mmed Jnr flay Foul Inemance 800485-'o S5 -