451 INLAND WAY ELECT PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
1'6 ERES19-0051
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 2/14/2019
EXPIRES: 8/13/2019
ATLANTIC BEACH. FL 32233
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
200 amps/240 volts/single-
451 INLAND WAY ELECTRICAL RESIDENTIAL phase - add outlet for $850.00
remodel
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 1532 OCEANWALK UNIT 04
COMPANY:- ADDRESS: CITY: STATE: ZIP:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
LEVY DERRICK S 451 INLAND WAY ATLANTIC BEACH FL 32233-4682
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 SWITCH AND RECEPTACLE OUTLETS 4SS-0000-322-1000 0 $0.60
ELECTRICAL BASE FEE 4S5-0000-322-1000 0 $5S.00,
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 $2.00
1 0
Issued Date: 2/14/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0051
CITY OF ATLANTIC BEACH
ISSUED: 2/14/2019
800 SEMINOLE ROAD EXPIRES: 8/13/2019
ATLANTIC BEACH. FIL 32233
TOTAL: $59.60�
Issued Date:2/14/2019 2 of 2
"ALL INFORMATION
Electrical Permit Application HIGHLIGHTED IN
GRAY IS REQUIRED.
Beach Building Department
City of Atlantic
o
800 Seminole Rd, Atlantic Beach, FL 32233
-Deqt2.�c�oab,us PERMIT#:
Phone: (904) 247-5826 Email: Building
JOB ADDRESS: –PROJECT VALUE$
PHASE
JEA INFORMATION REQUIRED ON ALL PERMITS:
AMPS ZL-f(�,VOLTS t
NEW SERVICE: Overheod �Underground i Underground up Pole
Residential(Main)Service: Ej151-200amPs _amps #of Meters
-0-100amps .101-150amps
Commercial (Main)Service: amps CT Service amps
0-100amps Li101-150amps
Conductor Type_—Size
Multi-Family(Main)Service: amps #of Unit Meters
0-100 amps –101-150amPs i-151-200amPS
TEMPORARY POLE:_amps
SERVICE UPGRADE: -CT Service_amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps '150amps 200amPs ------amps CT Service—a in p',
S?rADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: I 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: _
17 OTHER ELECTRICAL PROJECTS: rs (Qty) r--iTransformers KVA jMotors, HP
–Swimming Pool ::Sign Smoke Detecto
r
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS: Safety Inspection - PanelChange LiOH to UG 17118
Replace Burnt/Damaged Meter Can updated 10/
:-iOther:
reby certify that I have
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. Ihe
reac!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. I he permit does not give authority to violate the provisions of any other state or local law regulation construction or the performanLe Of
construc,tion. Phone Number:
Owner am
Electrical Company: 141--11 r Office Phone: ��.Fax:
City� State�1�–�Zip:2,�
Co. Address: TA -- tration#: IF IQ, I-�C) I
License Holder: 1-4\ State Certification/Regis
Notarized Signature of License Holder
The foregoing instrument was acknowledged before e th' day of e SYtate of Florida, County ojY
be'ore me tn
Signatu r f Notary Public
Tracey paUtSW 11
ersonally Known OR I Produced Identification
NOTARY PUBLIC Type of identification:
–STATE OF FLORIDA
00mrrW GG212743
Expires 4/30/2022
Cash Register Receipt Receipt Number
City of Atlantic Beach R8165
DESCRIPTION ACCOUNT CITY PAID
I PermitTRAK $59.60
ERES19-0051 Address: 451 INLAND WAY APN: 169463 1532 $59.60
ELECTRICAL $55.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $0.60
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8165 $59.60
Date Paid:Thursday, February 14, 2019
Paid By: KNIGHT ELECTRIC LLC
Cashier: CT
Pay Method: CREDIT CARD 001612
Printed:Thursday, February 14,2019 11:17 AM 1 of 1