1464 SEMINOLE RD ERES19-0020 ELECTRICAL PERMIT trt�Ly;y' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0020
CITY OF ATLANTIC BEACH
v V~ 800 SEMINOLE ROAD ISSUED: 1/16/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 7/15/2019
MUST CALL INSPECTION • • 1 , 247-5814 BY , PM FOR • INSPECTION.
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, PLEASECAREFULLY.
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-
1464 SEMINOLE RD ELECTRICAL RESIDENTIAL phase -add 7 outlets & 5 $1115.00
fixtures
TYPE OF
ZONING: :D •
• • GROUP:
171954 0000 SELVA MARINA UNIT 02
COMPANY: ADDRESS:
UNITED ELECTRIC
COMPANY OF 5716 SAINT AUGUSTINE ROAD JACKSONVILLE FL 32207
JACKSONVILLE
• ADDRESS:
SCHAFER MAX EDWIN JR 1464 SEMINOLE RD ATLANTIC BEACH FL 32233-5510
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 "M
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 5 $3.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $4.20
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date: 1/16/2019 1 of 2
s � Electrical Permit Application "ALL INFORMATION
J� n HIGHLIGHTED I
City of Atlantic Beach Building Department GRAY ISREQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 S Int
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: H V UI S C/►^ i n O 6L Z4 PROJECT VALUE$ 0
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JEA INFORMATION REQUIRED ON ALL PERMITS: W AMPS VOLTS PHASE
❑NEW SERVICE: ElOverhead ❑Underground []Underground up Pole
Qtesidential(Main)Service:
00-100 amps 0101-150amps [3151-200amps damps #of Meters
❑Commercial(Main)Service:
❑0-100 amps 13101-150amps 11151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
OD-100 amps E1101-150amps E1151-200amps El amps #of Unit Meters
❑TEMPORARY POLE: amps
El SERVICE UPGRADE:❑ amps ❑CT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
E]100amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
XADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 1 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw S
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
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can []Safety Inspection []PanelChange ❑OH to UG
QDther: Updated 10/17/18
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. v
Owner Name: U' l L S C�N o. J� /l _ Phone Number: a 0 1
Electrical Company: U l+i qqE)1 L+r, Co '9 ( GxOffice Phone: � `
13 1' L/ Z /� Fax: -731 -.53 I/
Co.Address: 1 14 S r�� 0S�l^A- )2 City: � G k State: [ L Zip: .3 Z Z O—7
License Holder: ryx t L c. /qa State Certification/Registration#:EC 13 0 0 53 (0-7
Notarized Signature of License Holder U, l�
The foregoing instrument was acknowledged before me this pday of G n .20147 in thip State of Florida,County of 4✓a/
Signatu of Notary Public
BRENDA K.GRIFFIN
MYCOMM[SSION#GG193986 [ Personally Known OR[ ]Produced Identification
Type of Identification:
ra,,,� EXPIRES April 23,2022