2060 BEACH AVE ELECT PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0061 I
v" ISSUED: 2/19/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 8/18/2019
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 • '
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.
JOSADDRIESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
2060 BEACH AVE ELECTRICAL RESIDENTIAL ELECTRIC- 4 SWITCHES $2000.00
TYPE OF
ZONING: :D •
• • GROUP:
169713 0020 NORTH ATLANTIC BCH
UNIT 3
COMPANY: ADDRESS:
FRANK 513 VIKINGS LN ATLANTIC BEACH FL 32233
• ADDRESS: STATE:
GLASSER ELLEN 2060 BEACH AVE ATLANTIC BEACH FL 32233
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.
i
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $2.40
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: $61.40
Issued Date: 2/19/2019 1 of 2
Electrical Permit Application **HIGHLIALL HIGHLIGHTED
ON
' HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
J` 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: '*�, 5 tc! 0021
JOB ADDRESS: _2 Gln �� \�C PROJECT VALUE $_ %,60C(-,
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE
❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
,--Residential (Main)Service:
-0-100 amps ❑101-150amps o151-200amps ❑ amps #of Meters
,Commercial (Main) Service:
❑0-100 amps ❑101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
-0-100 amps i101-150amps o151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: amps ❑CT Service amps
KNEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps ❑150amps ❑200amps ❑ amps CT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: `1_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
EPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: Updated 10/17/18
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: �� ❑ ( e- S'-�F' Phone Number:
Electrical Company: Cf1<=q4JC :lY'I'�eOfficePhone: 69Z7-q 7Z Sr Fax:
Co.Address: F�y be K 7)Z 3'7 City: k ij State:-�At_Zip:
License Holder: QLOIL /lad ' f��( State Certification/Registration#: 6 I( [3O) 5'0
Notarized Signature of License Holder
The
g instrument was a I before me this_4d9y of (— in the Sy to of Florida,County of
r.SPERGER924951Sign a of Notary Public
,P •c.;�ClOber 6,2019�'Yuta7PublicUnderwriters [ ] Personally Known OR[ ] Produced Identification
,:--- Type of Identification: