1876 BEACH AVE ERES18-0162 ELECT PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0162
V~ 800 SEMINOLE ROAD ISSUED:
ATLANTIC BEACH. FL 32233 EXPIRES:
MUST CALL INSPECTION • • 914 247-5814 BY 4 PM FORDAY INSPECTION.
ALL WORK MUST CONFORMTO 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.
JOB ADDRESS: PERMITTYPE: —��DESCRIPTION: VALUE OF WORK:
1876 BEACH AVE ELECTRICAL RESIDENTIAL 200 amps/110 volts/single- $2500.00
phase - elec for remodel
TYPE OF
ZONING: :D •
• • GROUP:
169542 0608 BEACHSIDE
COMPANY: ADDRESS:
EXCEED ELECTRIC, INC. 5290 FLORAL BLUFF COURT JACKSONVILLE FL 32211
• ADDRESS:
Farid Hakim 1876 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 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 AIR CONDITIONING CIRCUITS 4S5-0000-322-1000 0 $10.00
ELEC APPLIANCES FIXED OR STATIONERY 4S5-0000-322-1000 0 $4.00
ELEC HEAT 455-0000-322-1000 0 $8.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 4S5-0000-322-1000 36 $21.60
ELEC SWITCH AND RECEPTACLE OUTLETS 4S5-0000-322-1000 0 $40.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 45S-0000-208-0600 0 $2.00
Issued Date: 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
}
CITY OF ATLANTIC BEACH ERES18-0162
ISSUED:
800 SEMINOLE ROAD
Will, ATLANTIC BEACH. FL 32233 EXPIRES:
STATE DCA SURCHARGE 45500002080700 0 $2.00,
TOTAL: $143.40',
Issued Date: 2 of 2
ELECTRICAL PERMIT APPLICATION d / — ocv
CITY OF ATLANTIC BEACH �ae '�.�,
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 FM_ �
845 g'
.JOB ADDRESS: &,t/PERMrr#
JEA INFORMATION REQUIRED ON ALL PERMITS O_AMPS 110 VOLTS , PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main)Service
110-100 amps ❑101-150amps ❑151-200amps j amps #of Meters
❑Commercial(Main)Service
110-100 amps 1110 1-I 50amps ❑151-200amps amps ❑CT Service amps
Conductor Type Size
-I Multi-Family(Main)Service
110-100 amps 1110 1-15 Oamps ❑151-200amps ❑ amps #of Unit Meters
)tremporary Pole ❑ I bo 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/Swttc es: 0-30amps 31-100amps 101-200amps
Appliances: 'Z 0-30amps 31-100amps 101-200amps
A/C Circuits: 7- 0-60amps 61-l 00amps
Heat Circuits: I # circuits @ so kw
Number of Lighting Outlets, Including Fixtures: S(.,
OTHER ELECTRICAL PROJECTS
El Swimming Pool ❑ Sign El Smoke Detectors_Qty 11 Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) oQ
Qty volts/amps VALUE OF WORK a 5b0,
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑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.
Property Owners Name / c� �Kl v✓1 Phone Number
Electrical Company Exceed l �IQo4(/ t Office Phone YPy `1716693 &W ey-8&�2�
Co.Address: ZI LID 46 dels D/1 AA A Q City ✓, �_Zip.I�P State � Zi
License Holder(Print): Ldolkj JA,/1 State Certification/Registration#
Notarized Signature of License Holder
and subscribed before me this (� day of 20�)_
`:P0.Y A ••ii
,s GUADALUPE GARCIA
c Notary Public .State of fl�►Io1 tore of Notary Public
Commiftloo 0 ff 913675
••''.?.°;R, �` My COMM.Expires Qac 15.2019