1729 Ocean Grove Dr ERES19-0125 Add Outlets ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACH ERES19-0125
800 SEMINOLE ROAD
ISSUED:4/25/2019
ATLANTIC BEACH,FL 32233 EXPIRES: 10/22/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM1 THE CURRENT ISTH EDITION1 OF • ' 1 ' BUILDING
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF 1
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:
1729 OCEAN GROVE DR ELECTRICAL RESIDENTIAL 200 amps/240 volts/first- $1200.00
phase -add outlets
TYPE OF BUILDING
CONSTRUCTION: NUMBER: GROUP:
1696100000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS:
A.G.S. Electrical and 3820 Williamsburg Pk. Blvd.#4 Jacksonville FL 32257
Property
• ADDRESS:
LALIBERTE JOHN 14370 MANCHESTER DR NAPLES FL 34114-8626
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.
Roll off container
,any must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
ELEC APPLIANCES FIXED OR STATIONERY 4554000 322-1000 0 $000
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000322-1000 0 $OGO
ELECTRICAL BASE FEE 455-000'0-322-1000 0 $5500
STATE DBPR SURCHARGE 455-0000-2090700 0 $3.00
STATE DCA SURCHARGE 455-0000-2000600 0 $300
Issued Date:4/25/2019 1 of 2
INFORMATIONElectrical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904/)) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: � f� � l c,,j4 ( a l sll)P 0Cs PROJECT VALUE$ "
JEA INFORMATION REQUIRED ON ALL PERMITS:JOIAMPS,O VOLTS I PHASE
❑ NEW SERVICE: ❑Overhead ❑Underground ❑Underground up Pole
oResidential(Main)Service:
oO-100amps o301-150amps u151-200amps ❑_amps If of Meters
oCommercial(Main)Service:
oO-100amps c101-150amps c151-200amps ❑_amps oCTService amps
Conductor Type Size
❑Multi-Family(Main)Service:
oO-100amps c101-150amps 0151-200amps ❑_amps #of Unit Meters
❑ TEMPORARY POLE:amps
❑ SERVICE UPGRADE: c amps oCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
01 amps : 150amps o200amps d amps oCTService 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: C-60amps 61-300amps
Heat Circuits: #circuits @kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
nSwimming Pool uSign ❑Smoke Detectors (Qty) oTransformers KVA uMotors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
oReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change cOH to UG
Uptlored la/ll/I8
❑Other:
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 permitdoes not ive authoritytoviolatethe rovisi.ns of any other state or local law mgulatio const ucuonor the Performance of
construction. Q'
Owner Name: Phone Number. (�
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Electrical Company: �f ice Phone: '`I 04 R'LS' TSo Fax: (T
Co.Address: City:
S/tate: `nn Zip[. / _L
License Holder: ate Certification/Registration#: C113 17), 11510q
Notarized Signature oJLicense Holder
The foregoing instrument was acknowledg efore me this a5 day of ap n in the
State of Florida,County of DA vi
JENNIFERJOHNSTON Signature Of Notary Public �1[t�
MY CAMM1951GNp GG 002894
EXPIREIONIO2i,2020 [ ]Personally Known OR ItJ4roduced Identification
;K.�Ma, Bapry>s,u NoMn wale WMerv,Nms Type of Identification: Ft jl JJJS \:Ctn3z-
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