274 3rd ST - ELECTRIC SAFETY (---3-E,- ---,,,,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
� �j
ERES19-0068
' ' CITY OF ATLANTIC BEACH� 800 SEMINOLE ROAD ISSUED:
-cmEXPIRES:
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
ICODE, 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.
IJOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
274 3RD ST ELECTRICAL RESIDENTIAL SAFETY INSPECTION $250.00
TYPE OF i REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: # NUMBER: I GROUP:
172548 0000 ATLANTIC BEACH
TERRACE
ICOMPANY: ADDRESS: CITY: STATE: ZIP:
BEACHES ELECTRIC GREEN COVE
214 COKESBURY CT FL 32043
SERVICES INC. SPRINGS
OWNER: ADDRESS: CITY: STATE: ZIP:
BENITEZ PROPERTIES LLC ATLANTIC BEACH FL 32233-5319
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
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$109.00
Issued Date: 1 of 2
IS 39qv
;tri- Electrical Permit Application **ALL INFORMATION
,' � '�, HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
'v r 800 Seminole Rd, Atlantic Beach, FL 32233 C�
F`° Phone: (904) 247-5826 - k ( J — 006
Email: Buildin Dept@coab.us PERMIT#:
JOB ADDRESS: 2_ ) / .i ' 5)- PROJECT VALUE$ ' 3'
JEA INFORMATION REQUIRED ON ALL PERMITS: 1o0 AMPS Zri/OLTS / PHASE
❑ NEW SERVICE: ❑ Overhead oUnderground ❑Underground up Pole
❑Residential(Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps U of Meters
❑Commercial(Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
oMulti-Family(Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps if of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps oCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps a 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 oMotors HP
I I FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
f] REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can t afety Inspection nPanel 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 viol to the provisions of any other state or local law regulation construction or the performance of
construction. �
Owner Name: --�—I wra 0'(.s,6(Oat Phone Number: 'a7 .5-5—,?— ?c i'o
Electrical Company: Q.ea(j/\)2 €-1 v - �►-Office Phone: ?Di -402' —3/87— Fax:
Co.Address: 2 ' y C.,.. 1esbc.ti C/- City: 6 CS State: /C/ Zip: .57z0y3
License Holder: t..2029j State Certification/Registration#:
Notarized Signature of License Holder /;,... ��
The foregoing instrument was acknowledged before e this f' ' � 20 n the Sta e of Florida,County of
.. off
Signature of Notary Public
1
.� i:Vv', TONI GINDLESPERGER \--/'. di,. * ;,_ MY COMMISSION#FF 924951 , [ ] Personally Known OR[ ] ' oc17,41-Ide t atio
••+.'g EXPIRES:October 6,2019 ; Type of Identification:
--' Rr;:v Bonded Thru Notary Public Underwrters
4