120 Mayport Rd D ERES19-0112 Replace Riser ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0112
ISSUED:4/11/2019
800 SEMINOLE ROAD EXPIRES: 10/8/2019
ATLANTIC BEACH. FIL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT EITH EDITION (2017) OF THE FLORIDA BUILDIN(v
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
REA
ALL CONDITIONS OF PERMIT APPLY, PLEASE!,, D CAREFULLY.
[NOTICE: In addition to the requirements of this permit,there may be additional res I trictions applicable to this property
tj I , na erent re unreel from other
that may be found in the public records of this county,and there may be additional permits required from other
SL ,r fed,ral agences
governmental entities such as water management districts,state agencies,or federal agencies.
REPLACE MASTER RISER- $200.00
120 MAYPORT RD D ELECTRICAL RESIDENTIAL LOT 52
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1707230000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
CRAWFORD ELECTRIC 2301 Marsh Point Road' Neptune Beach FL 32266
STATE: ZIP:
OWNER: ADDRESS: CITY: —
ONEENEENEMEMEMEMEMONVILILE Fit. 32207-9521
SINGLETON ASSOC LTD 5001 PHILIPS HWY#7B JA
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 ORAN
AT-FORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must beon Cityapproved list. Containercannot beplaced on City right-of-way.
I — I
FEES
DESCRIPTION
"T"'N
E ELECREIAIRIANOMISC 455 0000 322 1000 0 $35 00
0 $5500
E TR ALE
LECTRICAL BASE FEE 455 01322 1000 —
C 'I"
0 $2W
BE Lee 'CECH
STATE FIBER SURCHARGE 455 0000 208 0700
TE 'C'
'T CC SURGE. —2W"1" 0 520N
STATI DCA SURCHARGE 411
TOTAL:$94.00
Issued Date:4/11/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0112
800 SEMINOLE ROAD ISSUED:4/11/2019
ATLANTIC BEACH. FIL 32233 EXPIRES: 20/8/2019
issued Date:4/11/2019 2 of 2
ELFCTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904),;47-5826 Fax(904)247-5845 C-(RES1q -0jt2-
6011 ADDRESS: 1;26 Yfiokf4 14 1--t i P, PERMIT#
[It
JEA INFORMATION REQUIRED ON ALL PERMITS ,?00 AMPS -X/O VOLTS PHASE
VALUEOFWORK$ -Xo-ea
NEW SERVICE [] Overhead ED Underground D Underground up Pole
DResidentiall(Main)Service
LJO-100 amps [3101-150ampas 0 151-200amps []—amps #Of Meters
�]Coinmdeurcial(Main) Service
00-100 amps -3101-150amps 0 151-200amps 0------arnps fICTServiceamps
Conductor Type-_ Sin
DMulti-Facally(Main)Service
110-100amps 0101-150amps IJ 151-200amps 11 not #of Unit Meters
[]Temporary Pole 0 .....amps — PS
SERVICE UPGRADE :]-----_amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E7100ampas 0150amps D200amps 11—MPS --CTService_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Crutlets/Switches: —0-30amps 31-100amps 101-200anaps
Appliances: _0-30amps 3 1-I 00amps 101-200amps
A/C Circuits: 0-60arnps ____61-1"atnps
Heat Circuits: # circuits @ kw
Number of Lighting 0 tlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimminglactol -] Sign 0 Smoke Detectors_Qty 07fransfornmen; KVA ElMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/turips— VAL UE OF WORK S
REPAIRS/MISCELLANEOUS
]Replace BurnoDarmaged Meter Can 0Safety Inspection []Panel Change E1OHtoUG
X01her: mke-iz rl�
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 W be true and canvct. 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 previsions of any other state or local law regulation construction or the performance of
construction.
�L*ALPWI- IshoneNurnber f-d-45p- m
Property Owners Name I W�
Electrical Comixmv Cr i Nwl�fa �M cc Phone
Co.Address: al city StateZ Zip.
License Holder(Print):
State Certification/Registration# M-390
C.1farized Signature ofLicense Holder *--
Swom and subscribed befo -rnelhis�9*h'�day 2011
Signature of Notary fat abw
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