355 W 3RD ST ERES19-0052 new service permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0052
" 800 SEMINOLE ROAD ISSUED: 2/132019
ATLANTIC BEACH. FL 32233
EXPIRES: 8/12/2019
MUST CALL INSPECTION • • • 1 • BY • 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 • i OF PERMIT APPLY, 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:
355 W 3 ST ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE $5000.00
TYPE OF
• • GROUP:
170873 1000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS:
HUNTER ELECTRIC 11624 DAVIS CREEK ROAD EAST JACKSONVILLE FL 32256
COMPANY
•
ADDRESS:
BEASLEY GERALDINE ET AL 237 SOUTHERN ROSE DR JACKSONVILLE FL 32225
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 4S5-0000-322-1000 200 $70.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $129.00
Issued Date: 2/13/2019 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
7 Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: J55 we7 ,A PERMIT# 13- 06 5
JEA INFORMATION REQUIRED ON ALL PERMITS OU AMPS X40 VOLTS PHASE
VALUE OF WORK$ SU W'L'J
NEW SERVICE ❑ Overhead Underground EDUnderground up Pole
❑Residential(Main) Service v
00-100 amps ❑101-150amps 151-200amps 11 � Cy) amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps O 150amps 0200amps O amps OCT 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 0 Sign ❑Smoke Detectors_Qty OTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
R.EPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change OOH to UG
0 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 __XC 3� t4iz, Phone Number
Electrical Company \-�tAvAer �7U,Itr, Office Phone zROy G Fax 616 -OL,-7 3
Co. Address: 1Cr-cr IC rLd Q:s City. State J t Zip :3aa-r
License Holder(Print): A V_') V r State Certification/Registration # 6 -.,a 3'z
Notarized Signature of License Holder
REBECCA RUSH Before me this day of 20 c1
Notary Public,State of Florida /
M•,,Comm.Expires 07/12x21 Signature of Notary Public
Con-o;ission No.GG101570
f Cash Register
s�
City of Atlantic Beach J �r
• '
DESCRIPTION • QTY PAID
PermitTRAK $129.00
ERES19-0052 Address: 355 W 3 ST APN: 170873 1000 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTALBY ' : 1 $129.00
Date Paid: Wednesday, February 13, 2019
Paid By: HUNTER ELECTRIC COMPANY
Cashier: CB
Pay Method: CREDIT CARD 13383
Printed:Wednesday, February 13, 2019 4:08 PM 1 of 1 i