2393 Ocean Breeze Ct ERES19-0116 Motors for Shutters ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
-0116
ERES19
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 4/16/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 10/13/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
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 tothis 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.
JOBADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
2393 OCEAN BREEZE CT ELECTRICAL RESIDENTIAL 2 2.0-amp motors for $1500.00
hurricane shutters
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
OCEAN BREEZE REVISED
1689088230 PLAT
COMPANY: ADDRESS: CITY: STATE: ZIP:
CLAYTON'S ELECTRIC 367 SISCO RD POMONA PARK FL 32181
SERVICE INC
OWNER: ADDRESS: CITY: STATE: ZIP:
HANSEN KIRK C 2393 OCEAN BREEZE CT ATLANTIC BEACH Ft 32233-5968
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. �:A
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC MOTORS 455 0000 322 1000 12 $800
455 DOW 322 1000 0 $55,00
STATE DBPR SURCHARGE 455 0000 208 0700 0 $2UD
STATE DCA SURCHARGE 0 $2.00
Issued Date:4/16/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMITNUMBER
ERES19-0116
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED:4/16/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 10/13/2019
TOTAL:$67.001
Issued Date:4/16/2019 2 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: jjoe,� Cf 4r0241t, &,4[ 32M PERMIT# 616;,S1q-0 ((o
JEA INFORMATION REQUIRED ON ALL PERMITS ..Lo _AMPS —VOLTS _PHASE
VALUEOFWORKS jSm4p
NEWSERVICE El Overhead C3 Underground [DUndergroundup Pole
Residential(Main)Service
0-100 amps 101-150amps 151-200amps
Commercial(Main)Service _____#mps #Of Meters
0-100 amps 101-150amps 151-200amps amps C7 Service amps
Conductor T%pe Size
MuIti-Family(ffw—n)Servjm
G-100 amps 101-150amps 151-200amps MPS Of unit Meters
Temporary Pole _wrips
SERVICE UPGRADE mps CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC)
100 anips 150amps 200amps CTService_amps
ADDITIONS,REMODELS,REPAIRS,RUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Svatches 0-30amps 31.100amps 101-200amps
Appliances: 0-30amps 31-100araps —
A/C Circuits: 0-60ansps 61-100amps —101-200amps
Heat Circuits: — #circuits '4----)cw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
SMmming Pool Sign Smoke Detectors_Qly Tromformens.—I(VA VN4otos 2-0aj�
FIRE ALARM SYSTEM (Requires 3 sets of plans) PROADE POWER TO-4L2.0 AMP MOTORS
Qty—volwamps-- — VALUE OF WORK$(,<A xa
REPAIRS/MISCELLANEOUS
Replace Bumt/Damaged Meter Can Safety Inspection Panel Change Oil to(JG
Other—
Pcrrnftb�-s�idif�kdmnwc�nwltfthina o�wffm==pe�.�bwxlsd f.,.j...ft� I bby oe�fy&a I haw
=dU%applimtime�kw�vi[w�meta����t Mip rds.. tj.�.,k in b.=nplid wth��W
��ion or the perf�m=of
property Owners Name Phone Number #W- Nl- 7 Kq
Electrical Company GLAYTOWS ELFCTRIC SERVICE Office Phone 904-8136069
Fax_
Co. Addrossr 367 SISCO ROAD CAY POMONAPARK State FL Zip 32181
License Holder(Print): CLAYPONBOICE State C rt-fication/ke_qistration# EC13004162
Notarrzed,Vignature ofLjcesje rolder TMW!=
S,tvorn and sub,.Aed before me this 20-ol
i C=nfissm#FFWX
Signature ofNotary Public �aq z w
\ I �10W ��F�
Cash Register Receipt Receipt Number
'I] City of Atlantic Beach R8753
DESCRIPTION ACCOUNT CITY
PermitTRAK $67.00
ERES19-0116 Address: 2393 OCEAN BREEZE CT APN; 168908 8230 $67.00
ELECTRICAL $63.W
ELECTRICAL BASE FEE 455-0000-322-1 $55.00
455 0000 3221" 1 io,
ELEC MOTORS .. $9.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 1 0 $2�00
455-0000-208-0 $2.00 1
TOTAL FEES PAID BY RECEIPT: R8753 $67.00
Date Paid:Tuesday,April 16,2019
Paid By:CLAYTON'S ELECTRIC SERVICE INC
Cashier:CT
Pay Method: CREDIT CARD 06448G
Printed:Tuesday,April 16,2019 12:36 PM I Of 1