1937 SEMINOLE RD ERES17-0088 ELECTRIC FOR SHUTTER 7
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES17-0088
..y CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/27/2019
9i 19,
ATLANTIC BEACH. FL 32233 EXPIRES: 9/23/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
• J. OF • 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:
1937 SEMINOLE RD ELECTRICAL RESIDENTIAL ELECTRIC FOR STORM $0.00
SHUTTER
TYPE OF
ZONING: . . •
CONSTRUCTION: NUMBER: GROUP:
169542 0522 BEACHSIDE
COMPANY: ADDRESS:
CLAYTON'S ELECTRIC 367 SISCO RD PONONA PARK FL 32181
SERVICE INC
• ADDRESS:
FRANKEL MURIEL TRUST 1937 SEMINOLE RD ATLANTIC BEACH FL 32233-5903
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 • . •
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 SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $0.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0
TOTAL: $59.60
Issued Date: 3/27/2019 1 of 2
ELECTRICAL PERMIT APPLICATION �+
CITY OF ATLANTIC BEACH OFFICE C C P y
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 F,f R C S(7 - Q 0 co�)
JOBADDRESS: 1937 Seminole U . 32233 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $ 2SO.W
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 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 0200amps ❑ amps OCT 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 !! Z•o q—p
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA 14tors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ L SD-M
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
❑Other: Y,( -C_ Sk
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 tJ� ���-- 4aa Si S Phone Number 905- 01-1G 8L
Electrical Company Cla17�rsns ILS/Lc�riC_ Set Iyi(,�. Office Phone *(I86-6eG9 Fax
Co. Address: 3 7 S S w �d- City Pmo&-_� State --)(- Zip 3218
License Holder(Print): C, IaV4n, bpw7 7 State Certification/Registration# eC/.0 cl/G 2
Notarized Signature of License Holder '
:aiYo PATTI L.O'CONNELL S rn and subscri d before is 1'� da of 2Q/
` Commission#FF 984902 y
'• ;�=Expires June 8,2020
Si nature of Notary Public
;�;°P Bonded Thu Troy fain Insurance 800.385.701