371 3rd St ERES19-0025 panel change permit PERMIT NUMBER
ELECTRICAL RESIDENTIAL PERMIT
s CITY OF ATLANTIC BEACH ERES19-0025
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800 SEMINOLE ROAD ISSUED: 1/22/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 7/21/2019
CODE,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
OF BEACH CODEOF 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.
• : err • r • OF • .
150 amps/240 volts/single-
371 3RD ST ELECTRICAL RESIDENTIAL phase - panel change, add $4500.00
outlets
TYPE OF BUILDING
r • GROUP:
169823 9000 ATLANTIC BEACH
COMPANY: • rr •
RIVER CITY ELECTRIC
CONTRACTORS, INC. 12496 Gately Oaks Ln JACKSONVILLE FL 32225
OWNER: ADDRESS: CITY: STATE: ZIP:
EILERS ELIZABETH A 371 3RD ST ATLANTIC BEACH FL 32233-5231
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 • r
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 AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $6.00
ELEC HEAT 455-0000-322-1000 0 $2.00
ELEC SERVICE CHANGE 455-0000-322-1000 150 $50.00
Issued Date: 1/22/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0025
800 SEMINOLE ROAD ISSUED: 1/22/2019
a
ATLANTIC BEACH, FL 32233 EXPIRES: 7/21/2019
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
TOTAL:$122.00
Issued Date: 1/22/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 � CU pp
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 2-71 "c' PROJECT VALUE$
JEA INFORMATION REQUIRED ON ALL PERMITS: ISD AMPS �-L OLTS PHASE
❑ NEW SERVICE: Overhead ❑Underground Li Underground up Pole
,Residential (Main) Service:
0-100 amps i101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial (Main) Service:
1:10-100 amps o101-150amps L;151-200amps ❑ amps CT Service amps
Conductor Type Size
EMulti-Family(Main)Service:
70-100 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 200amps amps ❑CT Service amps
Va"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:
E OTHER ELECTRICAL PROJECT�S-
❑Swimming Pool Sign i moke 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 �aPanel Change ❑OH to UG
odt-her: Re- CC ,A+er, o f- Le,;)P e-T Q 0 t le is 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. /
Owner Name: Phone Number:
Electrical Company: l�tr� GSA Of ice Phone D 3 7G Z Fax:
p Y �e-F C't q ��
Co.Address: t_Ao(,b L(AP-�r�_0 11 r6 L 12 C. City: TC-L t_-iyel0State: 1-4 zip: 3Z7,Z5_
License Holder: LA-6 `0 w State Certification/Registration#: 6-76 1300 6C31
Notarized Signature of License Holder
The foregoing instrument was acknowledged be ore me this a'day of Ct-✓LQ_'4'1-(,20_ tG n the State of Florida,County of
„ern
JENNIFER JOHNSTON Signature of Notary Public
MY COMMISSION#GG 042984
EXPIRES:October 27,2020 [ ] Personally Known OR[ ] Produced Identification
Type of Identification:
'o;F�. Bonded