1280 W Plaza ERES19-0113 new service permit %s`i'r' • ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
Jv ' ERES19-0113 R
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 4/15/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 10/12/2019
INSPECTIONMUST CALL • • 914BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF APPLY, CAREFULLY.READ
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:
1280 W PLAZA ELECTRICAL RESIDENTIAL REPLACE 4 WINDOWS $2900.00
TYPE OF
• • GROUP:
170979 0000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
• ADDRESS:
BROWN JAMES W 4012 RUSTLING OAKS CT JACKSONVILLE FL 32277
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 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
TOTAL:$129.00
Issued Date:4/15/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0113
=� ISSUED: 4/15/2019
800 SEMINOLE ROAD EXPIRES: 10/12/2019
f � ATLANTIC BEACH, FL 32233
Issued Date:4/15/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 L e-C--'s 19-D l 13
Phone: (904) 247-5826 Email: BLIilcfing-Dept@coab-.us PERMIT#:
JOB ADDRESS: ! Ccl�5� p� PROJECT VALUE$ U /
JEA INFORMATION REQUIRED ON ALL PERMITS: 0 )G AMPS4LVOLTS PHASE
❑ NEW SERVICE: o Overhead DUnderground 66nderground up Pole
uResidential(Main)Service:
❑0-100 amps u101-150amps o1S1-200amps --)_amps #of Meters
iCommercial(Main)Service:
DO-100 amps 1101-150amps i151-200amps ❑ _amps nCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
DO-100 amps n101-150amps 0151-200amps D amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: �j amps -CT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
u100 amps -150amp5 r200amps amps LCT 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:
i iSwimming Pool : Sign uSmoke Detectors (Qty) r!Transformers—T KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
iReplace Burnt/Damaged Meter Can `Safety Inspection uPanel Change DOH to UG
i Other: Updated 10/17/18
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 permi es not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. �w�
Owner Name: ./ C Phone Number:
Electrical Company: N f Zl% ' C- Office Phone: ��J Z Fax:
Co.Address: f?-
City: �/� Ili State/:: Zip: 22rj�U
License Holder: f State Certification/Registration#: Com! l
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this (5-day of l 20 V1 in the State of Florida,County of 10'w-t.
Signature of Notary Public
rsonally Known OR[ J Produced Identification
ffsa
JOHNSTONyp of Identification:
ION ff GG 042984ctober 27,2020ary Public Underwriters
Cash Register Receipt
City of BeachR8746
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $129.00
ERES19-0113 Address: 1280 W PLAZA APN: 170979 0000
$129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTALPAID BY RECEIPT: R8746 $129.00
Date Paid: Monday, April 15, 2019
Paid By: KNIGHT ELECTRIC LLC
Cashier: CT
Pay Method: CREDIT CARD 013352
Printed: Monday,April 15,2019 12:34 PM 1 of 1 �t
mwcr