262 S NAUTICAL BLVD ELEC PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0047
800 SEMINOLE ROAD ISSUED: 2/7/2019
ust19r ATLANTIC BEACH. FL 32233 EXPIRES: 8/6/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY 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:
262 S NAUTICAL BLVD ELECTRICAL RESIDENTIAL 15 OUTLETS AND 10 $1500.00
FIXTURES
TYPE OF
• • GROUP:
170703 0404 SEASPRAY
COMPANY: ADDRESS:
ELITE ELECTRICAL SERVICES 11611 CAPE HORN AVE JACKSONVILLE FL 32246
LLC
• ADDRESS:
JODY SOMMERS 1648 ATLANTIC BEACH DRIVE Atlantic Beach 1:1 3223
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 25 $15.00
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: $74.00
Issued Date: 2/7/2019 1 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 E-RU5(J,-c.)CA7
Phone: (904) 247- 826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: I PROJECT VALUE $ l�
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE
❑ NEW SERVICE: Li Overhead ❑Underground ❑Underground up Pole
❑Residential (Main)Service:
❑O-100 amps i101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial (Main) Service:
❑0-100 amps E101-150amps ❑151-200amps ❑ amps CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑0-100 amps [j101-150amps o151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: tj amps CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps 150amps -200amps L _amps . 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
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: updated 10/17118
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: _ �i PPhho`ne Number:
Electrical Company:/ ! ���G`I' C �' Office Phone: w --�G- /� av Fax:
Co.Address:�(��� �� City: 17-4sy
State: Zip:
License Holder: Z-e! State Certification/Registration#:
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this day of in he Stat of Florida, County of _
Signature of Notary Public
;�1�Yei TONIGINDLESPERGER ersonally Known OR[ ] Produced Identification
s►: s MY COMMISSION it FF 924951
a EXPIRES:October 6,2019 Type of Identification:
q '. Bonded Thru Notary Public Underwriters