1946 Beach Ave ERES19-0142 Add Outlets, SwitchesLr'' ' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
A, CITY OF ATLANTIC BEACH ERES19-0142
800 SEMINOLE ROAD ISSUED: 5/21/2019
''t4 vH ATLANTIC BEACH.FL 32233 EXPIRES: 11/17/2019
INSPECTIONMUST CALL • • 1 , FOR DAY INSPECTION.
CODE, NEC, IPMC, 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 maybe found in the public records of this county,and there maybe additional permits required from other
governmental entities such as water management districts,state agencies,or federal agencies.
• . ADDRESS: PERMIT TYPE: DESCRIPTION:
1946 BEACH AVE ELECTRICAL RESIDENTIAL 200 amps/240 volts/first $2500.00
phase -add outlets, switches
TYPE OF r
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169542 0598 BEACHSIDE
COMPANY: rr •
EXCEED ELECTRIC, INC. 5290 FLORAL BLUFF COURT JACKSONVILLE FL 32211
• ADDRESS:
TRUB RICHARD GIBSON 1946 BEACH AVE ATLANTIC BEACH FL 32233-5937
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 . r
Rail off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-COW-3221000 10
ELEC SWITCH AND RECEPTACLE OUTLETS 455-OOW-3221000 0 $4.80
ELECTRICAL BASE FEE 455-OOM 3221W0 0 $55.00
STATE OBPR SURCHARGE 455 0000-208-0)W 0 $200
STATE DCA SURCHARGE 455L0W408-0600 0 $100
TOTAL:$69.80
Issued Date:5/21/2019 1 of 2
*'ALL INFORMATION
Electrical Permit Application HIGHUGHTEDIN
City of Atlantic Beach Building Department GRAY 15 REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 tR.ES 19-y4 0 N.),
Phone: (904) 247-5826 Email: Build i ng-Dept2 coab.us PERMITM: RFSg /9- CC5
JOB ADDRESS: /Ryb deaCA Ove- _ PROJECT VALUE$ 14500
JEA INFORMATION REQUIRED ON ALL PERMITS:—tg AMPS 110 VOLTS / PHASE
❑ NEW SERVICE: o Overhead ounderground ❑Underground up Pole
oResidential(Main)Service:
00-100amps ❑101-150amps 0151-200amps o_amps If of Meters_
c6ommercial(Main)Service: mps oCT Service amps..
0o-100amps 0101-150amps 0151-200amps o_a
Conductor Type Size
oMultl-Family(Main)Service:
nO-100 amps o101-150amps o151-200amps o_amps pof Unit Meters_
❑ TEMPORARY POLE:_amps
❑ SERVICE UPGRADE: o_amps oCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
o100amps u150amps o200amps o_amps DCTService_amps
® ADDITIONS, RENT LS,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: _It circuits @_kw
Number of Lighting Outlets, Including Fixtures: t_
❑ OTHER ELECTRICAL PROJECTS:
o5wimming Pool oSign o5moke Detectors_(Qty) oTransformers KVA oMotors_HP
❑ FIRE ALARM SYSTEM(Requires 3 sets of plans):
QTY volts/amps
❑ REPAIRS/MISCELLANEOUS:
oReplace Burnt/Damaged Meter Can o5afety Inspection oPanel Change ❑OH to UG Updoted to/v/ta
oOther
Permit becomes void if work does not commence within a six month period or work is suspended rabandonedf th Ih by certify that I h
ave
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 glif ive authority to violate the provisions of any other state or local law regulation construction or the performance of
construction
Owner Name: 1. A ) 1>./� C/J/I phone Number:
Electrical Company: E Ce � Gn//Y/f Office Phone: 40N �77 6L9� Fax:
Co.Address f"T Foe1'6 /) )w) 19 C- _ City: /6LiI(ld11✓rLk State:_zip:,IZ211
Ucense Holder: I i' G /q/ State Certification/Registration p: F C'/30//11�q
Notarized Signature ofacense
in the State of Florida,Count of J_
The foregoing instrument was acknowledged before me this�.day of 20�' y
Signature of Notary Public_ ,
JENNIFER JOHNSTON [ 1 personal) Known OR IL}4roduced IQenlifLcaCoFp
HVCOMNIssIONOCG0420a4 Type of Identifications r /J�lif .[_LAS L.
EXPIRES:October 27,2020
{ Y' eanaearnu naary P�biic um:mnlers