1958 Beachside Ct ERES19-0016 elec for remodel ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0016
800 SEMINOLE ROAD ISSUED: 1/14/2019
ATLANTIC BEACH, FIL 32233 EXPIRES: 7/13/2019
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:
1958 BEACHSIDE CT ELECTRICAL RESIDENTIAL 200 amps/240 volts/single- $2000.00
phase - elec for remodel
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695420588 BEACHSIDE
COMPANY: ADDRESS: CITY: STATE: ZIP:
ALL SERVICE ELECTRIC 1556 WHITLOCK AVENUE JACKSONVILLE FL 32211
GROUP
OWNER: ADDRESS: CITY: STATE: ZIP:
RICHTER GREGORY J 1958 BEACHSIDE CT ATLANTIC BEACH FL 32233
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 10 $6.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $9.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
2.00
STATE DBPR SURCHARGE 455-0000-208-0700 0
Issued Date: 1/14/2019 1 of 2
20 , ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0016
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 1/14/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 7/13/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
Issued Date: 1/14/2019 2 of 2
ELECTRICAL PERMIT APPLIC ATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 6
JOB ADDRESS: (IT, 2
t PERMIT#
V'
JEA INFORMATION REQUIRED ON ALL PE�AITS _2_X AMPS _;Z5/e VOLTS PHASE
VALUE OF WORK$ 9_�'��
NEW SERVICE El Overhead El Underground D Underground up Pole
OResidential(Main)Service
DO-100 amps 0101-150amps 0 151-200amps []—amps #of Meters
OCornmercial(Main)Service
DO-100 amps D101-150amps D 151-200amps 0- am s
Conductor Type Size p OCT Service—amps
DMulti-Family OTain)—Service 11�-
DO-100 amps D101-150amps 0 151-200amps 0— amps of Unit Meters
DTernporary Pole 0 amps
SERVICE UPGRADE ___amps D CT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps D200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps _101-200�mps
App!ian�,es: 0-30amps 31-100amps
A/C Circuits: —0-60amps 61-100amps 101-200am.ps
Heat Cir-cuits: # circuits @ kw-
Number of Lighting Outlets, Including Fixtures: to
OTHER ELECTRICAL PROJECTS
OSwimmingPool DSign 0 Smoke Detectors_Qty OTransformers_KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
OReplace BV/Damaged Meter Ca
6 _n /�Safety Inspection 0 Panel Change DOH to UG
61_0e_10917� 6_11-ce.-lelc
)�Other:�jmvjpC& K'W,9� 40
4-rCPr5 Z,"i#/:y)<-hl�z
7
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 0'rdinancesgoveming this work will be complied with whether
specified or not. Ile 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 Qz-�� PhoneNumber _Iyy-ro�_e
Electrical Company AU- C Office Phone ZVY-r�'S_'O Faxj�6 -�000
Co.Address: /�Y6 A1W7',—ZPCm_ eV2' C '<_
itV State Zit)
License Holder(Print All S eCertification/Registration#l�ifo,�,j /,)-?(,
Notarized Signature ofLicense Holder
S, day, of
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Cash Register Receipt Receipt Number
City of Atlantic Beach R7827
DESCRIPTION ACCOUNT CITY PAID
PerrnitTRAK $109.00
ERES19-0016 Address: 1958 BEACHSIDE CT APN: 169542 0588 $109.00
ELECTRICAL $105.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $9.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 10 $6.00
FIXTURES
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R7827 $109.00
CITY OF AT[ANTIC BEACH
800 SENINCLE RD
ATLANTIC B:AC,FL 32233
011+2019 09:15:23
CREDIT CARD
VISk SALE
Card XXXXXXX=1137
SEQ 2
Bath 770
INVOICE 2
Approval Code: 02212G
Entry Method: Manual
Mode: Online
Tax Amount: $0.00
Card Code: M
SA[E AMOUNT �Iaoo
CUSTOMER COPY
Date Paid: Monday,January 14, 2019
Paid By: ALL SERVICE ELECTRIC GROUP
Cashier: BA
Pay Method: CREDIT CARD 2
Printed: Monday,January 14,2019 9:16 AM I of 1