1612 ATLANTIC BEACH DR - NEW ELECTRIC SERVICE g;c :jri'.':; ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
k 4 ) ERES19-0034
CITY OF ATLANTIC BEACH ISSUED: 1/30/2019
N 800 SEMINOLE ROAD
`0-1-1l9~ ATLANTIC BEACH. FL 32233 EXPIRES: 7/29/2019
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.
i JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1612 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE $6500.00
TYPE OF I REAL ESTATE
NUMBER: BUILDING USE
GROUP:
1 ZONING: SUBDIVISION:
CONSTRUCTION:
ATLANTIC BEACH
169505 1130 COUNTRY CLUB UNIT 01
li
COMPANY: ADDRESS: CITY: STATE: ZIP:
MCDONALD ELECTRIC 6915 WEST BEAVER ST JACKSONVILLE FL 32254
i OWNER: ADDRESS: CITY: STATE: ZIP:
ATLANTIC BEACH 414 OLD HARD RD FLEMING ISLAND FL 32003
PARTNERS LLC
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 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$129.00
Issued Date: 1/30/2019 1 of 2
(SR
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
/ //��h�'�Ph(904) 247-5826 Fax (904) 247-5845 C R
JOB ADDRESS: (o (2 �-IA N -C each , PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 20 0 AMPS 246 VOLTS I PHASE
VALUE OF WORK$ 6SOO. o 6
NEW SERVICE ❑ Overhead Underground ❑I Underground up Pole
Residential (Main) Service
L10-100 amps L 101-150amps J 151-200amps D amps # of Meters
Commercial(Main) Service
u0-100 amps 101-150amps 151-200amps Li amps i_;CT Service amps
Conductor Type Size
:Multi-Family(Main)Service
C;0-100 amps _i 101-150amps ;151-200amps i amps #of Unit Meters
Temporary Pole ❑ amps
SERVICE UPGRADE amps Li CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100 amps D 150amps D200amps D amps Li 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
L Swimming Pool ❑ Sign Li Smoke Detectors Qty i:i Transformers KVA Li Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/NIISCELLANEOUS
1:Replace Burnt/Damaged Meter Can S Safety Inspection Li Panel Change DOH to UG
[1 Other:
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.
Property Owners Name / 0rO/io/S Phone Number
Electrical Company MClJor»a1-64.74.4e) Office Phone 94#
'73 Fax -'2196 /f
Co. Address: (Wil tJ. &a'2 & �$$ City(JaCko()VfI/Pi StatePZ Zip 3125'/
License Holder(Print): i ,7 C2 State r ification/Registration# EC600/794
/
Notarized Signature of License Holder 4c-4,1," Airams
r`;a���f•,, t;r+his fd.TH1)9!s Sworn d subscribed before me this t day of T4K„,1 2015
Notary Public-State of Florida x
' v Commission # FF 943955 k Signature of Notary Public - �/-
,�F-�� My Comm.Expires Dec 15,2019 k
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