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1595 BEACH AVE - ELECTRIC METER CAN ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER r• � /r CITY OF ATLANTIC BEACH ERES19-0007 ISSUED: 1/8/2019 800 SEMINOLE ROAD \ ATLANTIC BEACH. FL 32233 EXPIRES: 7/7/2019 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: 1595 BEACH AVE ELECTRICAL RESIDENTIAL ELECTRIC CANACE METER $350.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: I GROUP: 170313 0000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: BEACHES ELECTRIC 214 COKESBURY CT GREEN COVE FL 32043 SERVICES INC. SPRINGS OWNER: ADDRESS: CITY: STATE: ZIP: BLACKARD WILLIAM R JR 3531 HEDRICK ST JACKSONVILLE FL 32205-9406 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: 1/8/2019 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 ES 0007 JOB ADDRESS: I S a ��C�f� ,�„�_ PERMIT # JEA INFORMATION REQUIRED ON ALL PERMITS d--•&(:) AMPS 7iq0 VOLTS 1 PHASE VALUE OF WORK S 3) o - NEW SERVICE ❑ Overhead n Underground 1 Underground up Pole LiResidential(Main)Service 00-100 amps 0101-150amps ❑151-200amps amps #of Meters ❑Commercial(Main)Service 00-100 amps 1101-150amps 0151-200amps amps DCT Service amps Conductor Type Size ❑Multi-Family(Main)Service [10-100 amps ❑101-150amps 0151-200amps amps # of Unit Meters ❑Temporary Pole 17 amps SERVICE UPGRADE C1 amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100 amps " 150amps 0200amps ❑ amps [1]CT 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 @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool Sign ❑Smoke Detectors_Qty Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK S REPA ISCELLANEOUS *Replace Burnt/Damaged Meter Can ❑Safety Inspection I l Panel Change 10H to UG El 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 60b (GI a f-c Phone Number(9 o() (03/— (1.)cf g Electrical Company eA (�G sv L Office Phone (2.7-3 I42—Fax Co.Address: zit/ Co=ite,) City G GS State f Zip3Z6y License Holder(Print): ' ."104:4,6_, L© 0- I<-(4.9 caw, State Certification/Registration#_erz.Oo131 Z Notarized Signature of License Holder-- . /kb", `;I,N TON'' DLESPERGER Sworn and subscribed before m- t rs e • : Q. 20l 1* MY CCMM!SSIQN#FF 924951 5 EXPIRES:October 6,2019 Signature of Notary Public • / 4( ,P nt ica Thru Notary Public UNevnters .eswMw_ :..