1954 W SEVILLA BLVD ERES19-0026 ELECTRICAL PERMIT ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0026
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 1/23/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 7/22/2019
MUST CALL INSPECTION • • • 1 BY 4 PM FOR + INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D+ 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:
1954 W SEVILLA BLVD ELECTRICAL RESIDENTIAL REPLACE A/C BREAKER $150.00
TYPE OF
ZONING: : . •
• • GROUP:
169462 0430 SEVILLA GARDENS UNIT
02
COMPANY: ADDRESS: STATE:
CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266
• ADDRESS:
GREGG OTIS C 1954 SEVILLA BLVD W ATLANTIC BEACH FL 32233-4578
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.
I
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $10.00
ELEC SWITCH AND RECEPTACLE OUTLETS 4S5-0000-322-1000 0 $0.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $69.00
Issued Date: 1/23/2019 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
aa Ita
Ph(904)247-5826 Fax (904) 247-5845 E,R ES� 9
)B ADDRESS:_j-l�� �( B)yd• -W • 322-6-:3 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2-00 AMPS cgg0 VOLTS PHASE
VALUE OF WORK$ 150 ,60
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 LI-amps ❑CT 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 11200amps ❑ amps [I CT 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
❑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 ❑OH to UG
Other: lace Ac- hfenlc r
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. ,f
Property Owners Name t &ea Phone NumberQ-
Electrical CompanyCofiadig,41p6tfice Phone 7�Nfl-.5j�I1 Fax 5 0 11 - d
Co. Address: City State�zip 522&W
License Holder(Print): e Certification/Registration# ecl 360? 9
tarized Signature of License Holder
�:�� JULAN Sworn a d subscribed befo e me this da
r 20l
F? = � MY COMMISSION M 006111 y
V. EXPIRES:June 27,2020
•.FOf i�•O.'
Bonded Thru Notary Public underoeiten Signature of Notary Publ