469 ATLANTIC BLVD 05 ERES18-0423 ERES PERMIT ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0423
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800 SEMINOLE ROAD ISSUED: 12/21/2018
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`r.);wj ATLANTIC BEACH. FL 32233 EXPIRES: 6/19/2019
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:
469 ATLANTIC BLVD 05 ELECTRICAL RESIDENTIAL REPLACE METER JAW $500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170690 0000 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
DO-VO ELECTRICAL
CONTRACTORS LLC 5432 OAK FOREST DR JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
DIAMOND REAL ESTATE
PROPERTIES IV LLC 6517 LOU DR S JACKSONVILLE FL 32216
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 REPAIRS AND MISC 455-0000-322-1000 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: $94.00
Issued Date: 12/21/2018 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 Re S ( S-- O 4 z
.TOB ADDRESS: T Cl 64,, gwok. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS .o 0 AMPS 21/a VOLTS I PHASE
VALUE OF WORK$ 5 1
NEW SERVICE ❑ Overhead n Underground nT Underground up Pole
❑Residential (Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑0-100 amps 0101-150amps 11151-200amps ❑ amps DCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
EJ Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 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�aMeter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: &k\-42 V
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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 14,Wk p1� �,� G.51-4 e. Phone Number a i 3 111.
Electrical Company 'Ob.- VJ L IQcii—eLL c t Office Phone 707–Z-qqax
Co.Address:61j 32.. Oate....G•reDi//--,, City 36aStorktit t kState_ Zip 322))
License Holder(Print): State Certification/Registration#£ ' /.3b bT1,X j
Notarized Signature of Licens- Holder ,,7
Sworn .r s subscri,-d befor. m, ' s !1 of 20 B
TON{GINDLESPERJ,-,
MY COMMISSION k FF
EXPIRe
Notary S:October 6,2o�s Signature of Public �—
Bcnced 7hn�Nctary