611 Timber Bridge Ln ERES19-0010 new service permit s
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
' CITY OF ATLANTIC BEACH ERES19-0010
+�
800 SEMINOLE ROAD ISSUED: 1/8/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 7/7/2019
MUST CALL INSPECTION • • • 1 i PM FOR NEXT DAY • •
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
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: PERMITTYPE: DESCRIPTION:— VALUE OF WORK:
611 TIMBER BRIDGE LN ELECTRICAL RESIDENTIAL 200 amps/240 volts/single- $2500.00
phase - new service
TYPE OF
ZONING: :D •
CONSTRUCTION: NUMBER: GROUP:
169505 2090 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: —ADDRESS:-
MCDONALD ELECTRIC 6915 WEST BEAVER ST JACKSONVILLE FL 32254
ADDRESS:
m .
ATLANTIC BEACH 414 OLD HARTS RD STE 502 FLEMING ISLAND FL 32003
PARTNERS LLC
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
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
Issued Date: 1/8/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
'!
CITY OF ATLANTIC BEACH ERES19-0010
ISSUED: 1/8/2019
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 7/7/2019
TOTAL:$129.00
Issued Date: 1/8/2019 2 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (9041I) 2,^47-5845 C-'Q S 19 d 0 1C7
JOB ADDRESS: L 1 M r f Lin,n Hj PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS >*J VOLTS PHASE
VALUE OF WORK$ o?506. "
NEW SERVICE ❑ Overhead [Underground ❑I Underground up Pole
iResidential (Main) Service � ��
i-0-100 amps -101-150amps kT51-200amps ❑ amps #of Meters
Commercial(Main) Service
-0-100 amps 101-150amps 151-200amps E amps _ICT Service amps
Conductor Type Size
Multi-Family(Main) Service
-0-100 amps 101-150amps —151-200amps J amps #of Unit Meters
-Temporary Pole C' amps
SERVICE UPGRADE _ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 0150amps C1200amps E amps !-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 i-1I Transformers KVA -Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
rReplace Burnt/Damaged Meter Can -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 /! G7 "ens Phone Number 3�JG
Electrical Company_��'�Ua» o arf2cc> Office PhoneFax�-Of/-'W- dg�'
Co.Address: 6_0aZf/ 674 City(jkC 19 Vill& Stater, Zip31.Z5-'1
License Holder(Print): CQ St
ification/Registration# EC6l79Y
Notarized Signature of License Holder
719 — j -
. ,..�_� da of Tom,,,,,.� Iq
a,fky P CHRISM.THUAS Sworn �ckiibsscribed before me this y T 20
.`�'av pie'
,` Notary Public-State of Florida
Commission # FF 943955 Signature of Notary Public
-•. _
Qom° My Comm.Expires Dec 15,2019
Bonded through National Notary Assn.