351 1ST ST ERES19-0006 ELECTIRCAL PERMIT ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
i , CITY OF ATLANTIC BEACH ERES19-0006
800 SEMINOLE ROAD ISSUED: 1/8/2019
` 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 CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, ' OF ATLANTIC BEACH CODEOF • '
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:
351 1ST ST ELECTRICAL RESIDENTIAL 200 amps/240 volts/single- $800.00
phase - 30 outlets/switches
TYPE OF •
ZONING: :D •
• • GROUP:
169767 0000 ATLANTIC BEACH
-ADDRESS:
Jimmy's Electric LLC 526 11th Avenue North Jacksonville Beach FL 32250
• ADDRESS:
LOVE WILLIAM J 351 1ST ST ATLANTIC BEACH FL 32233-5227
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.
CONDITIONSLIST OF
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 SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $32.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$91.00
Issued Date: 1/8/2019 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH ova
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: - � �T ST PERMIT#
YEA INFORMATION REQUIRED ON ALL PERMITS __AMPS VOLTS PHASE
VALUE OF WORK$ eOO
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT 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
El 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 Meter Can ❑Safety Inspection ❑Panel Change OOH 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. // A n
Property Owners Name Z�/ by e Phone Number Y�7
Electrical Company aT/,t1/t�giz -e- Office Phone Fax
Co.Address: �` /((A A,&Q,I—Jt City State ip-?OZJV
License Holder(Print): AON State Certification/Registration# 1304MAFO
Notarized Si nat older
P�•., JENNIFER JOHNSTON
'�P- "' MY COMMISSION#GG 042984 Sworn and scribed fore me this day of �Gl(1 1.t u �j 20
EXPIRES:October 27,2020
:�.
BoodedThruNotaryPublic Undenvriters Signature of Notary Public