778 Vecuna Rd ERES19-0018 new service permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0018
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 1/15/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 7/14/2019
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:
200 amps/240 volts/single-
778 VECUNA RD ELECTRICAL RESIDENTIAL phase -service for new $5980.00
home
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1713530000 ROYAL PALMS U NIT 02A
-----COMF`ANY: ADDRESS: CITY: STATE: ZIP:
Creekside Electrical 44449 Woodbridge Dr Callahan FL 32011
Consulting LLC
OWNER: ADDRESS: CITY: STATE: ZIP:
Porter Mason 1340 Trailwood Drive Neptune Beach FL 32266
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 NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
ELECTRICAL BASE FEE 455-0000-322-10 0 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.001
Issued Date: 1/15/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0018
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 1/15/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 7/14/2019
TOTAL:$129.00
Issued Date: 1/15/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY 15 REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 C-e-j;�Si cl -Oct
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT W. K-5�i-03'9
JOB ADDRESS: ::I ] g \(e LU g A K) PROJECT VALUE$ 5 .4 Wof
JEA INFORMATION REQUIRED ON ALL PERMITS: - ^&K
AMPS" )-VOLTS PHASE
aNEW SERVICE: ET'0�verhead ClUnderground OUnderground up Pole
Mesidential (Main)Service:
[30-100 amps 0101-150amps 01,51-1-200amps [L--amps #of Meters
OCommercial (Main)Service:
[10-100 amps [1101-150amps 11151-200amps M-amps []CT Service amps
Conductor Type Size
DMulti-Family(Main)Service:
E30-100 amps 0101-150amps [1151-200amps []_amps #of Unit Meters
OTEMPORARY POLE: amps
EISERVICE UPGRADE:El— amps EICT Service amps
-�F NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
C3100 amps [3150amps [:]200amps []_amps [37 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:
0Swirriming Pool[:]Sign DSmoke Detectors (Qty) ElTransformers KVA []Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
C.ty volts/amps
F-� REPAIR.S/MISCELLANEOUS:
[]Replace Burnt/Damaged Meter Can 0Safety Inspection Opanel Change []OH to UG Uodated 10/17118
DDther:
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. I cfp+314-q 1-7-7
Owner Name: ncLstq �tx-)�t-r- Phone Number:
Electrical Company: (Orvil, ctAi. Office Phone: !30LI- 30 S-'6 4 SLI Fax:
Co.Address: 9LWC( LkODDAr-113,R City: llakii� - - State: F1 zip: 30VII
License Holder: iz�n4'lirmnu ��Ve-f— 4:1 State Certification/Registration#: 6�-1361617?15
Notarized Signature of License Haider gL Az- I ('&�L
The foregoing instrument was acknowledged before me this It dayof 26 the State of Florida,County of kc'.5�d-Lu
Notary Public State of Flomis Signature of Notary Public
'Jef ON Paula J Pierce
I- My Commission GG 26(A97 M-�ersonally Known OR I ]Produced Identification
VY46 Expires i0/15=22 Type of Identification:
YE I
Cash Register Receipt Receipt Number
City of Atlantic Beach R7844
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $223.00
ERES19-0018 Address: 778 VECUNA RD APN: 171353 0000 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TEMP19-0001 Address: 778 VECUNA RD APN: 171353 0000 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
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: R7844 $223.00
CITY OF ATIATIC BEACH
800 SEPINCLE RD
ATLANTIC B--AC,Fl.32233
0115 2019 11:09:29
CREDIT CARD
VISk SALE
Card AkW=9588
SEQ;: 2
Batch;: 771
INVOICE 2
Approval Code: 078BOG
Entry Method: Manual
Mode: Online
Tax Arnount: $0.00
Card Code: M
SA[E AMOUNT $223-00
Date Paid:Tuesday,January 15, 2019
Paid By: Creekside Electrical Consulting LLC CUSTOMER COPY
Cashier: BA
Pay Method: CREDIT CARD 2
Printed:Tuesday,January 15,2019 11:11 AM 1 of 1