1977 W Sevilla Blvd ERES19-0135 meter permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0135
CITY OF ATLANTIC BEACH
ISSUED: 5/10/2019
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 11/6/2019
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: PERMITTYPE: DESCRIPTION: ---------- VALUE OF WORK:
1977 W SEVILLA BLVD ELECTRICAL RESIDENTIAL METER CAN $700.00
TYPE OF REALESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
SEVILLA GARDENS UNIT
1694620380 02
----COMPA-NY:--- ADDRESS: CITY: STATE: ZIP:
JOHNSON ELECTRIC OF 5025 AZURE ST JACKSONVILLE FL 32258
JACKSONVILLE INC
OWNER: ADDRESS: CITY: STATE: ZIP:
BAKER SARAH LINDA 1977 SEVILLA BLVD W ATLANTIC BEACH FL 32233
HARDEE
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.
7 71�� 1,
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DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 4S5-0000-322-1000 0 $3S.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 5/10/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0135
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 5/10/2019
9 ATLANTIC BEACH, FL 32233 EXPIRES: 11/6/2019
TOTAL:$94.00
Issued Date:5/10/2019 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 F_R E-7 S 1
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1977 Sevilla Blvd. W. PROJECT VALUE $$700.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
NEW SERVICE: 13 Overhead Ellinderground OUnderground up Pole
Mesidential (Main)Service:
E10-100 amps [3101-150amps [1151-200amps 0—amps #of Meters
DCornmercial(Main)Service:
E10-100amps [1101-150amps 13151-200amps El amps EJCT Service_amps
Conductor Type Size
13Multi-Family(Main)Service:
00-100 amps 0101-150amps [1151-200amps E]_amps #of Unit Meters
0 TEMPORARY POLE: amps
DSERVICE UPGRADE: El amps OCT Service_amps
El NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
E]100 amps E1150amps [:]200amps E1_amps DZTService_amps
El 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:
[3Swimming Pool E]Sign E]Smoke Detectors (Qty) OTransformers KVA []Motors HP
F—] FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
FV� REPAIRS/MISCIELLANEOUS:
kf�eplace Burnt/Damaged Meter Can E]Safety Inspection E]Panel Change E]OH to UG
DDther: Updated 10/17118
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: Sarah Baker Phone Number: (904)246-6332
Electrical Company: Johnson Electric of Jacksonville, Inc. Office Phone: (904)616-6W6 Fax:
Co.Address: 42 Sorrell Ct. City: Saint Johns State:_FL Zip: 32259
License Holder: James A. Johnson State Certification/Registration#: ER-13015087
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this day o&-M4W 20 in the State of Florida,County of _(_AANJ,4�
Signature of Notary Public �_Z2O
CHARLOTTE JOHNSON:
Personally Known OR Produced Identification
MY COMMISSION GG 272345]
�y
EXPIRES:October 29,2022 pe of Identification:
&Y)ded TIvu Notary Ptibkc Umkramm
Cash Register Receipt Receipt Number
City of Atlantic Beach R9021
DESCRIPTION ACCOUNT QTY PA
PermitTRAK $9 4.00
ERES19-0135 Address: 1977 W SEVILLA BLVD APN: 169462 0380 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: R9021 $94.00
Date Paid: Friday, May 10, 2019
Paid By:JOHNSON ELECTRIC OF JACKSONVILLE INC
Cashier: CT
Pay Method: CREDIT CARD 11
Printed: Friday, May 10,2019 3:29 PM 1 of 1