1802 Seminole Rd ERES19-0139 Elec for Remodel ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0139
800 SEMINOLE ROAD ISSUED: 5/20/2019
"1�l ATLANTIC BEACH, FL 32233 EXPIRES: 11/16/2019
• ' • • • • • • r • IMIt L• • •
CODE, AND CITY OF • • 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.
• : , • • •
1802 SEMINOLE RD ELECTRICAL RESIDENTIAL 200 amps/240 volts/first $5000.00
phase- elec for remodel
ZONING:TYPE OF REALESTATE
SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
172020 0502 SELVA MARINA UNIT 09
COMPANY: DD.
RIVER CITY ELECTRIC INC 2825 HOLLYBAY RD ORANGE PARK FL 32073
• ADDRESS:
PILLAR LLC 3167 ST JOHNS BLUFF ROAD JACKSONVILLE FL 32246
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.
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
ELEC AIR CONDITIONING CIRCUITS ZS000-322-1000 0 $1000
ELEC APPLIANCES FI%EO OR STATIONERY 455-0000-322-1" 0 $R00
ELEC HEAT 4S5-0000-3221000 0 $400
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0OW-322-1000 0 $36W
EIEC TRI CAL BASE FEE 4550000-322-1W0 0 $55.00
STATE DBPR SURCHARGE 455-0000-200-0700 0 $200
Issued Date:5/20/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0139
ISSUED: 5/20/2019
800 SEMINOLE ROAD EXPIRES: 11/16/2019
ATLANTIC BEACH, FL 32233
STATE DDASUKMRGE
cssu000-zososao D $2.00
TOTAL:$117.00
Issued Date:5/20/2019 2 oft
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
/ Ph(904)2477--5826 Fax(904)247-5845 ��ESl4—d X35
.TOB ADDRESS: i ,10 Z 7 F-yrn A J I e- f(<t PERMIT# —CO3:"-'
JEA INFORMATION REQUIRED ON ALL PERMITS Jho AMPS 7flo VOLTS / PHASE
VALUE OF WORK$ _0,> r -13
NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps #.of Meters
❑Commercial(Main) Service
00-100 amps D101-150amps ❑151-200amps ❑ amps 11 CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
.NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100amps ❑150amps ❑200amps ❑ amps ❑CT Service_drops
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1(00-30amps 31-100amps 101-200amps
• Appliances: -f 0-30amps 31-100amps 101-200amps
• A/C Circuits: L 0-60amps 61-100amps
.Heat Circuits: Z # circuits ® �kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign []Smoke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 seti of plans)
Qty volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOE to UG
❑Other.
Pemdt 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.
Property Owners Namee�`�'I 1 'i,\`tr �L-'s Phone Number
Electrical Company I 4-r"L, EAn nn , -_T c Office Phone 5`Il -06 K Fax
Co. Address: q- K-d' City 0,P. State FL zip 37,73
License Holder(Print): j; — - tate Certification/Registration#19 ' 6y
N er
am K
Notary Public-State of Florida pril subscribed before me this of /;7_1 20 20
Commission#FF 920345
My Comm.Eaplres dan 75,zoz gnature of Notary Public
„ 1.�""` aaroeatlwipn aauaruln 15,assn.