1979 SELVA MARINA DR ERES19-0083 ELECT PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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r, CITY OF ATLANTIC BEACH ERES19-0083
v~ 800 SEMINOLE ROAD ISSUED: 3/14/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 9/10/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL i '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.
VALUE OF WORK:
JOB ADDRESS: PERMIT TYPE: DESCRIPTION:
200 AMPS/240
1979 SELVA MARINA DR ELECTRICAL RESIDENTIAL VOLTS/SINGLE-PHASE- $2300.00
FIXTURES FOR KITCHEN
REMODEL
TYPE OF BUILDING
• • GROUP:
169506 1006 SELVA NORTE UNIT 01
COMPANY: ADDRESS:
WADE'S ELECTRIC SERVICE P O BOX 17237 JACKSONVILLE FL 32245
• ADDRESS:
PETERSON MICHAEL B 1979 SELVA MARINA DR 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 i • •
,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 APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $2.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 45S-0000-322-1000 14 $8.40
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $2.40
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date: 3/14/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT _ PERMIT NUMBER
ERES19-0083
V CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/14/2019
t� EXPIRES: 9/10/2019
ATLANTIC BEACH. FL 32233
STATE DBPR SURCHARGE 455-0000-208-0700 L=O
$2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$71.80
Issued Date: 3/14/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
/ 800 Seminole Rd, Atlantic Beach, FL 32233 ❑ ppL^" Sl�-��ji �'t�❑
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: I c1 7 jS�( �`G r��l` F-,,/I/CA ID(- ' 'tjc PROJECT VALUE $ -2 i 3 0
JEA INFORMATION REQUIRED ON ALL PERMITS: CAMPS !Y C VOLTS I 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
i iMulti-Family(Main)Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps 219
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps i 200amps _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: ] 2
❑ OTHER ELECTRICAL PROJECTS:
❑Swimming Pool Sign uSmoke 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 DOH to UG
Updated io/i /is
❑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 n ive authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. n
Owner Name: 1�� �- Phone Number:
Electrical Company: G✓GC�L' S E1(` ,'yC �iC`e Office Phone: ( 7/ J� —`���ZI Fax(T�y/
Co.Address: :1jo() (�)EG S il/� (3cty City: :2–a State:4�—Zip: `LAS
License Holder: � Jn�l F�,�i' ' ca'1VM 'State Certification/Registration#: 3 0�
Notarized Signature of License Holder �✓� _� .
The foregoing instrument was acknowledged before me this day of 21 in the State lorida, County of
JOSETTE A RET Signature of Notary Public i��
'.
T-1 Commission#FF 218261
Expires April 7,2019 ( ] Personally Known OR[ Pro uc d Identifi tion
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Fain Type of Identification: Tt �1t1✓�j