715 Cavalla Rd ERES19-0137 Repair Weatherhead ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0137
ISSUED: 5/14/2019
o 800 SEMINOLE ROAD EXPIRES: 11/10/2019
s u ATLANTIC BEACH. FL 32233
MUST CALL
Y 4 PM FOR NEXT DAY INSPECTION.
ALL • . INSPECTION• • . • • • • r OF • • DA 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:
715 CAVALLA RD ELECTRICAL RESIDENTIAL REPAIR WEATHERHEAD $500.00
SUBDIVISION:TYPE OF REALESTATE ZONING: BUILDING USE
CONSTRUCTION: NUMBER: GROUP:-
171342 0000 ROYAL PALMS UNIT 02A
COMPANY: ADDRESS:
CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266
STATE: ZIP:
• ADDRESS:
MCGILLEY ELENA R ET AL 715 CAVALLA RD ATLANTIC BEACH FL 32233-3916
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $200
STATE DCA SURCHARGE 455-0000-208-0600 0 $200
TOTAL:$94.00
Issued Date:5/14/2019 1 of 2
Electrical Permit Application '"ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY 15 REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 _R C.Si c) - U( :z,�
Phone: (904) y247-5826 Email: Bu�i/lddiingg-Dept0coatt.us PERMIT#:
JOB ADDRESS: 11� �'nU LYLpLi . ��(s6=_PROJECT VALUES522, 00
JEA INFORMATION REQUIRED ON ALL PERMITS: ;AMPS ii&L VOLTS-.i_1 PHASE
13 NEW SERVICE: 13Overhead 13Underground 13Underground up Pole
Otesidential(Main)Service:
C30-100 amps 13101-150amps 13151-200amps 13 mps #of Meters
13Commercial)Main)Service:
I30-100amps 13101-150amps 0151-200amps _amps 13LT Service amps
Conductor Type Size
13Multi-Family(Main)Service:
M100amps 13101-150amps []151-200amps [3amps It of Unit Meters
❑TEMPORARY POLE:_amps
❑SERVICE UPGRADE: ❑_amps OCT Service_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
[3100amps 0150amps 0200amps E3—amps 13.TService amps
❑ ADDITIONS,REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
• Outlets/Switches: 0-30amps 31-100amps _101-200amps
0
Appliances: -30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJERS:
❑5wimming Pool❑Sign 13Smoke Detectors (City) ❑rransformers KVA []Motors HP
FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
[]Replace Burnt/DatpieLj nMemter an ❑Safety Ir)spection (Panel Change ❑OH to UG
_ lither: V'2OG.L 11 92r.�"IOL7Q! /}�J//C:7__ updatedto/vpa
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
construcon I
Owner Name: JIQ [/�� CJ
"„ Phonge Number. Fol 3�a�7,T 3�
Electrical Company / ffice Phone: Fax:
Co.Address: ., City:OPW rl Stmto F_2& llip:_32.c_�
License Holder: —
State Certification/Registration#: �G;X02Jnyf_
Notarized Signature of License Holder
he foregoing instrument was acknowledged efore me this d .of 20ft in State of Florida,County orty/TL
. _,,.- JtlllarlWNxER Signatureof Notary Pubic
'Ti• WcOsoxissonblWO0n11
ggg,gxyr.pp Ponally Known ORI Produced Identification
' j*„ +� gawdlfw Na�rr Pudic UiwwnLn ype oersf
Identification: