1631 ATLANTIC BEACH DR - NEW ELECTRIC SERVICE r,1.:','%, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
"' ' s' ERES19-0091
j :. CITY OF ATLANTIC BEACH ISSUED: 3/19/2019
(r 800 SEMINOLE ROAD EXPIRES: 9/15/2019
�o � 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
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:
1631 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL NEW ELECTRICAL SERVICE $2000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1085 ATLANTIC BEACH
COUNTRY CLUB UNIT 01
ii COMPANY: ADDRESS: CITY: STATE: ZIP:
MARCO ELECTRICAL 570 MILL CREEK ROAD JACKSONVILLE FL 32211
CONTRACTORS
OWNER: ADDRESS: CITY: STATE: ZIP:
ANN T SANTAYANA 1886 BEACH AVE ATLANTIC BEACH FL 32233
REVOCABLE LIVING TRUST
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.
r` FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
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
Issued Date:3/19/2019 1 of 2
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,,f.,,,,,,/,,,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
'I CITY OF ATLANTIC BEACH ERES19-0091
� `; ISSUED: 3/19/2019
800 SEMINOLE ROAD
' ��;—�
ATLANTIC BEACH. FL 32233 EXPIRES: 9/15/2019
TOTAL:$129.00
Issued Date:3/19/2019 2 of 2
ELECTRICAL PERMIT APPLICATION ((��
CITY OF ATLANTIC BEACH C R C S(9 -009/
800 Seminole Rd, Atlantic Beach, FL 3223 ?_t_S
Ph (904) 247-5: 6 Fax (904) 247-5845 ' ..011-0 01yT7
JOB ADDRESS: I ' ,r� L let Y 1 PERMIT#
LP 3. •
8O, y,r\ Q - CtclianC-Q
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 9O VOLTS 1 PHASE
VALUE OF WORK$ D,°oma • .--)
NE S RVICE ❑ Overhead )4 Underground 5 Underground up Pole
residential (Main) Service /
1:0-100 amps 101-150amps 151-200amps '4 DAO amps # of Meters I
Commercial(Main) Service
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
:_;0-100 amps 101-150amps 151-200amps amps # of Unit Meters
Ll Temporary Pole : : amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100 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
C Swimming Pool C Sign H Smoke Detectors Qty Transformers KVA .Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
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 Nam- '- • '2VQ- 1 - \IL.A- Phone Number"/Y2r .61a 1 '
Electrical Company MCky C' \-eL-`c I e. q Ds..Y4 . Office Phon " 3--33 Fax 9 7
Co. Address: n��,,,:,int` ` af•Qtk'i- LN City,,JCC' vlI State 6( Zip��aa 1 1
License Holder(Print): yy�A-n�� �� I� , State Certif ion/Registration# 6-1300.°'''5
J
Notarized Signature of License Holder -!
Sworn subscribed before m this ) day of Mg-r-et_ 20 1 9
se:* BONNELL��/ Wy/�',p /� SCRAIG ignature of Notary Public _ ��) C
:f• - NS 111��1��//CpO�M�I� 1 IONSO 24819
�`�1f` EXPIRES:D osmbe 11,WLL
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