174 OCEANWALK DR S - ELECTRIC REPAIR rt ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
J Ut• \1
c�,,¢- _.. CITY OF ATLANTIC BEACH ERES19-0003
r 800 SEMINOLE ROAD ISSUED:
>� v EXPIRES:
ATLANTIC BEACH. FL 32233
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: I DESCRIPTION: VALUE OF WORK:
174 S OCEANWALK DR ELECTRICAL RESIDENTIAL ELECTRICAL- 2 FIXTURES $300.00
TYPE OF { REAL ESTATE ZONING: I BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0036 OCEANWALK UNIT 01
ICOMPANY: ADDRESS: CITY: STATE: ZIP:
Eddings Electrical 551 Millhouse Lane Orange Park FL 32065
Contracting
OWNER: ADDRESS: ! CITY: STATE: ZIP:
BROCKUNIER CRAIG K 174 OCEANWALK DR S ATLANTIC BEACH FL 32233-4678
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
I
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 LIGHTING OUTLETS,INCLUDING FIXTURES 4S5-0000-322-1000 2 $1.20
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: $60.20
Issued Date: 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 ERG-319 -0C)03
JOB ADDRESS: 11 Li occ.4 4 00.,\t dr 5. 04-44, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS o�,0 AMPS a,4 C VOLTS ( PHASE
VALUE OF WORK$ 3 0 0 , 40
NEW SERVICE ❑ Overhead 7 Underground J Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps #of Meters
0 Commercial(Main)Service
110-100 amps 0 101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
O Multi-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps [I amps # of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: I 0-3 Damps 31-10 Oamps 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: 1
OTHER ELECTRICAL PROJECTS
❑Swimming Pool 0 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 Meter Can 0 Safety Inspection ❑Panel Change ❑OH 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.
Property Owners Name L Cc�tI 92 t o c-V- w 1 K,( Phone Number '►P 41 3'a �'(9 -
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Electrical Company eA& >n c> e L k r i t�\ �`� Office Phone /01 • �1°S i°0 Fax
Co.Address: 55 l \I '\o wSc_ 1,6L,N1rC City OtG., t Qar tate f-i. Zip Saa'1hC
License Holder(Print): 3-6‘‘.A, bj ) S State Certification/Registration# gG1306Q'x'1 8
Notarized Signature of License Holder .^;
„,�,�, �.,e.....,..x_ , om and subscribed before - is Ad. i ay of r I . 20 (c1
" TONIGINDLESPERGER f
.; �.. :,: Fav cor�hnlssleN 4 FF 924951 ,,.nature of Notary Public I';. -.4 EXPIRES:October 6,2019 —
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