568 Timber Bridge Lane ERES19-0132 generator permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0132
CITY OF ATLANTIC BEACH ISSUED: 5/8/2019
800 SEMINOLE ROAD
EXPIRES: 11/4/2019
L ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
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 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:
200 amps/240 volts/first
568 TIMBER BRIDGE LN ELECTRICAL RESIDENTIAL. phase - install 16kW $2000.00
generator
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695052135 ATLANTIC BEACH
COU NTRY CLU B U N IT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
Power& Control 5701 Commerce St Jacksonville FL 32211
Installations, Inc
OWNER: ADDRESS: CITY: STATE: ZIP:
BISSELL LUCY ELIZABETH 568 Timber Bridge Ln Atlantic Beach FL 32233
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
AT-FORNEY 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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC HEAT 455-0000-322-1000 0 $6.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 5/8/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0132
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 5/8/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 11/4/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$65.00
Issued Date:5/8/2019 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
Phone: (904) 247-5826 Email: Build i ng-Dept@coa b.us PERMIT#:
130\
JOB ADDRESS: '5o�-q I(V� W PROJECTVALUE $
JEA INFORMATION REQUIRED ON ALL PERM ITS:.,�AM PS,�MO VOLTS PHASE
NEW SERVICE: 0 Overhead E3Underground []Underground up Pole
oResidential (Main)Service:
C]0-100 amps 0101-150amps 0151-200amps []_amps #of Meters
[-')Commercial (Main) Service:
[10-100 amps 0101-150amps 13151-200amps 0—amps []CT Service amps
Conductor Type Size
OMulti-Family(Main) Service:
[10-100 amps [3101-150amps []151-200amps [:]_amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: 0— amps OCT Service amps
0 NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
E]100 amps E]150amps [:]200amps El amps EICT Service amps
Ll 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:
E]Swimming Pool[]Sign DSmoke Detectors (Qty) EDTransformers KVA E]Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
EaREPAIRS/MISCELLANEOUS:
E]Replace Bur t/D d M t r Can E]Saf t Inspection , OPanel Chan e E]OH to UG
(Imale I L1 L I Updated 10/17118
E]Dth jA-'� CA
er: U, C
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 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: Phone Number: -'56 1 -(.j 9-Jd5.1�11
Electrical Company: Ph.-)m- cwi Cjr�Arol ffice Phone: Q04 -74Q 15ciL2 Fax.c',�
�ice PI I -� -
Co.Address: -'�-7t)l City: State: Jc�� Zip: 3601L
License Holder: State Certification/Registration#:..4C-C Lim,32,25
Notarized Signature of License Holder
P
ledged/eflr this ��I'Xda of 20B in the State of Florida, County of VCLI
CYNTHIA LEE H003ES
I e f Notary Publi
Produc entif,(
Corrimission#ff 9841,66
A" P
tificatio
Expires April 20.2020 ers 0 nally Known OR Produ n
�T)r,Tl�-,FAsa inwriince alit'
Type of Identification:
Cash Register Receipt Receipt Number
City of Atlantic Beach R8985
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $65.00
ERES19-0132 Address: 568 TIMBER BRIDGE LN APN: 169505 2135 $65.00
ELECTRICAL $61.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC HEAT 455-0000-322-1000 0 $6.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8985 $65.00
Date Paid: Wednesday, May 08, 2019
Paid By: Power& Control Installations, Inc
Cashier: CT
Pay Method: CREDIT CARD 062122
Printed:Wednesday, May 08,2019 11:06 AM 1 of 1