2340 W OCEANFOREST DR ERES19-0078 ELECT PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0078
ISSUED: 3/6/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 9/2/2019
MUST CALL INSPECTION • • 91 + + 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 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: m
2340 W OCEANFOREST DR ELECTRICAL RESIDENTIAL ELECTRIC - ONE FIXTURE $250.00
TYPE OF
• • GROUP:
169463 1566 OCEANWALK UNIT 04
COMPANY: ADDRESS:
E3 ELECTRIC OF NE FL INC 5605 FLORIDA MINING BOULEVARD JACKSONVILLE FL 32257
• ADDRESS:
SANDARG MITCHELLE ET 2340 W OCEANFOREST DR ATLANTIC BEACH FL 32233-6611
AL
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 1 $0.60
ELECTRICAL BASE FEE 4S5-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $59.60
Issued Date: 3/6/2019 1 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
j 800 Seminole Rd, Atlantic Beach, FL 32233 c I
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RE'S E'S l9-6071
JOB ADDRESS: �- `340 W Ocearn{or'esr -Df-- PROJECT VALUE $ �O
JEA INFORMATION REQUIRED ON ALL PERMITS: 2-610 AMPS 'l-4C)VOLTS I PHASE
❑ NEW SERVICE: 11 Overhead ❑Underground ❑Underground up Pole
Mesidential(Main)Service:
❑0-100 amps 0101-150amps [1151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps [3101-150amps 11151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
EID-100 amps E1101-150amps [1151-200amps []_amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ 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❑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
❑Jther: 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✓i 1 i—CheIIC- Sar rjaC fADI kn —PhoneNumber904 1031 II(oq
J
Electrical Company: 3 1,1eGft"I G OR 0&Fly , I nG Office Phone: qO L1 000 03 33 Fax:GD4 eyeCo 8333
Co.Address: S&O 5.Fbrldn IY1inirr) i�1\/O( 5 City: State:- Zip:322c�
License Holder: A 01'Y�l fl �QSc�IGI�l _[G i State Certification/Registration#: T--G 13005 S 20
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this �day of HAYe�- 20 I L inthe to of Florida,County of
JOSETTE A RET Signature of Notary Public l
;.: Commission#FF 218261
,r Expires April 7,2019 [ ] Personally Known OR[ Produced I entificatio
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T e of Identification:
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