87 S Saratoga Cir ERES19-0104 One Outlet ,r
ELECTRICAL RESIDENTIAL FERMI-I PERMITNUMBER
n CITY OF ATLANTIC BEACH ERES19-0104
- ISSUED:4/1/2019
ATLANTIC
SON ROAD EXPIRES:9/28/2019
C BEACH.
EAFL 32233 _
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM OJI,111101KIds ws 1061WE
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE! i1lF ORDINANCES .
ALL CONDITIONS OF . A
NOTICE: In addition to the requirements of this permit,there maybe additional restr -tions applicable to this prcper'
that maybe found in the public records of this county,and there maybe additional f 3rmits required from other
governmental entitles such as water management districts,state agencies,or federal agencies��I��yy��c
JOB ADDRESS: PERMIT TYPE:
875 SARATOGA CIR ELECTRICAL RESIDENTIAL ONEOUT ET $197. '0
REALESTATE
• • ".:G , •
ATLANTIC BEA'
1717750000 02
COMPANY: ADDRESS: CIT
E3 ELECTRIC OF NE FL INC 5655 FLORIDA MINING BOULEVARD JACKSON /ILLE FL 3L.:.
►>,�, u i
ALLEN WILLIAM R II ETAL 328 2ND ST ATLANTIC: EACH FL 37
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CON MENCEMENT MAY f
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. / NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SI' E BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITF YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
mr , LIST OF CONDiTIONS`�r
- � -
7.ff111t1!!c�--pany must bean City approved list. Container cannot be plan Jon City right-of-v2ay.
DESCRIPTION ACCOUNT QUANTITY '`PAID A. UNT
ELEC SWI CH AHORFCEPTACUE OUTLETS 455-OWO-322-1000 0
ELECTRICAL BASE FEE 455-0000-3221000 0
STATE 0111'v SURCHARGE 455-0000-208-0700 0
A"TLn SURCHARGE 455-0000208-06W 0
_— T
Issued Date:4/1/2019 1 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
�RE�19 X104
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 27 C ltr 6- .4 PROJECT VALUE$ )Ct-7 E
JEA INFORMATION REQUIRED ON ALL PERMITS:150 AMPS&zp VOLTS 116 PHASE
❑ NEW SERVICE: ❑Overhead ❑Underground ❑Underground up Pole
❑Residential(Main)Service:
❑O-100amps n101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service:
❑O-100 amps ❑101-150amps u151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑O-100amps c:101-150amps o151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
❑100amps ❑150amps ❑200amps ❑ amps ❑CTService amps
❑ ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Sw#ches: 0-30amps 31-100amps 101-200amps
-, Appliances: 0-30amps 31-100amps _101-200amps
A/CCircults: . 0-60amps 61-100amps
Heat Circuits: #circuits @kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
❑Swimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty volts/amps
Lew
REPAIRS/MISCELLANEOUS:
❑Replace �Bu(nF/DamsPPed Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
ltOther: Add ot[11ei- -I`w allwrt oorr� uPdmaa to/ir/ta
Permit becomes void k 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.
Owner Name: 121)1 Allen Phone Number 904 S t,O 4JacF3
Electrical Company: 0 El&,cghl T (vlt�:F',L1 0
Office Phone: 4994 RA -Ii Fax:
FI
Co.Address: 411,21 ' Orr� &) ry
}�
,; � City: Z,, state:ja�zip:3aos _
License Holder: t State Certification/Registration#: 1Ft 19a+�j'g�
Notarized Signature o)Jicense Holder '9
The foregoing instrument was acknowledged before me this j4 f U in til a State of Florida,County of
roNI GI'MtESPERGER 'gnatu of Notary Publi
MY GOMM15G10N M FF924951
xPIPES Opens,s,2019 ersonally Known OR I ]Produced Identification
aa pe of Identification: