1980 MIPAULA CT - OUTDOOR ELECTRICAL ,,:1141 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0127
800 SEMINOLE ROAD ISSUED: 3/25/2019
J-J'i1Jr EXPIRES:9/21/2019
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:
1980 MIPAULA CT ELECTRICAL RESIDENTIAL 200 amps/240 volts/single- $600.00
phase - elec for grill area
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1018 SELVA NORTE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
ADVANCED WIRING
SERVICES INC. dba 3061 PHILLIPS HIGHWAY ST JACKSONVILLE FL 32207
ADVANC
OWNER: ADDRESS: CITY: STATE: ZIP:
JOHNSON PATRICK M 1980 MIPAULA CT ATLANTIC BEACH FL 32233-4555
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $2.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $3.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE 0BPR SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 3/25/2019 1 of 2
,,.,:0-- ,?41. ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
irf^`' CITY OF ATLANTIC BEACH ERES18-0127
1)1' --Y 800 SEMINOLE ROAD ISSUED: 3/25/2019
�0;ai`9%. ATLANTIC BEACH. FL 32233 EXPIRES: 9/21/2019
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL: $64.60
Issued Date: 3/25/2019 2 of 2
mow f,-72rt
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
11t' `�vI Ph(904) 247-5826 Fax (904)247-5845 P-e5( _ o(��
JOB ADDRESS: 190 0 ' Pau la ( G r 7 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ') AMPS 2`t°3 VOLTS ( PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground 0J Underground up Pole
❑Residential(Main)Service
DO-100 amps ❑101-150amps ❑151-200amps � amps #of Meters
U Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps O 151-200amps 0 amps #of Unit Meters
ID Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: to 0-30amps 31-100amps 101-200amps
Appliances: I 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 0 Sign ❑Smoke Detectors_Qty UTransformers KVA nMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ 601-) c `O
REPAIRS/MISCELLANEOUS
U Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
OOther: (,t9 s to 2 5- 1-ifOtt s 4.•1 '-( O /e-i r to Vu7D0o2 S r i i( a'c.o-
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. r t s , €e Q IN(A)S 1 N Cut)e
Property Owners Name Pal/<« 3c`ttcov Phone Number 73�' 6O 72
Electrical CompanyAdt/Yx'ca. gleam-trim ,Uorzh CZ).vnd4 Office Phone f°Sl 7%f44'4'Wax 22P
Co.Address: 3 061 P k)Lt Fc 14-lrr ( 4'7 /o V City Z c State/2( Zip 32 2.DJ
License Holder(Print): L1 zti a% I)pu M State Certification/Registration# G 1300 S—(603
Ni_q S:jil,,,f,.,•t.•'f 4p:0(14'_. - older /A)
JENNIFER JOHNSTON �A n^
MY COMMISSION S GG 042984 Sworn and subscribed before me this a Y day of 1` " 20 1
EXPIRES:October 27,2020
o :off'' Bonded Thru Notary Pubic Underwriters Signature of Notary Public
,,,,,,.,„°' Cash Register Receipt Receipt Number
City of Atlantic Beach R8530
); 9r
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $64.60 ,
ERES18-0127 Address: 1980 MIPAULA CT APN: 169506 1018 $64.60
ELECTRICAL $60.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $3.60
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $2.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8530 $64.60
0
I
Date Paid: Monday, March 25, 2019
Paid By: ADVANCED WIRING SERVICES INC. dba ADVANC
Cashier: CB
Pay Method: CREDIT CARD 92748
•
Printed: Monday, March 25, 2019 9:30 AM 1 of 1