1620 BEACH AVE ERES19-0084 PANEL CHNG PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0084
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800 SEMINOLE ROAD ISSUED: 3/14/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 9/10/2019
MUST CALL • • • • • PM FORiINSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODEA. 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:
1620 BEACH AVE ELECTRICAL RESIDENTIAL PANEL CHANGE $200.00
TYPE OFBUILDING USE
ZONING: :D •
• • GROUP:
169547 0500 OCEAN GROVE UNIT 01
COMPANY:
ADDRESS:
EXCEED ELECTRIC, INC. 5290 FLORAL BLUFF COURT JACKSONVILLE FL 32211
• ADDRESS:
STRANAHAN JAMES A 1625 BEACH BV ATLANTIC BEACH FL 32233-5850
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 REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: $94.00
Issued Date: 3/14/2019 1 of 2
ALL
Electrical Permit Application **HIGHLI HIGHLIGHTED
ON
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 CR ES�9- 0084
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: /�Z(� �('�C ✓� PROJECT VALUE $ Ci'
JEA INFORMATION REQUIRED ON ALL PERMITS: jj�() AMPS _+L VOLTS PHASE
❑ NEW SERVICE: -i Overhead ❑Underground ❑Underground up Pole
Residential (Main) Service:
0-100 amps i101-150amps o151-200amps ❑ amps #of Meters
Commercial (Main) Service:
❑0-100 amps -1101-150amps o151-200amps ❑ amps cCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
- 0-100 amps 101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps ❑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 ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection )SPanel Change ❑OH to UG
Updated io/1 /ls
❑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 not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Owner Name: Sf!CE�1 Gc�7a/� Phone Number:
Electrical Company: kk'� _tJ�c //G Office Phone: 9011 �%i /'G�b�f _Fax:
Co.Address: ufL) L t City: -h-c-A S,.[j v iIl� State: F/ Zip: U_11
Fc,
License Holder: /t. ,.3 u�G State Certification/Registration#: EC/7ke FG 39
Notarized Signature of License Holder % 7
The foregoing instrument was acknowledged before me this /•qday of i he State of arida,County of
Signature of Notary Public
K• TONI GINDLESPERGER
11-1,'o
MY COMMISSION#FF 924951 [ ] Personally Known OR[ ] Produced Identification
'•. ''a EXPIRES:October 6,2019 Type of Identification: O f0 Z — b ~ 4 - �)
� •...,o;
Bnnded Thru Notary Public Underwriters