490 E Sailfish Dr ERES19-0145 Repair Meter Jaws ELECTRICAL RESIDENTIAL PERMIT PERMITNUMBER
z CITY OF ATLANTIC BEACH ERES19-0145
800 SEMINOLE ROAD ISSUED: S/21/2019
_osuo EXPIRES: 11/17/2019
ATLANTIC BEACH. FL 32233MUST CALL
INSPECTION • . t ,
ALL • • CONFORM • • • • I OF • ' • • BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
F: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
ay be found m the public records of this county,and there may be additional permits required from other
mental entities such as water management districts,state agencies,or federal agencies.
JOBADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
490 E SAILFISH DR ELECTRICAL RESIDENTIAL 200 amps/240 volts/first $300.00
phase - repair meter jaws
TYPE OF ZONING: SUBDIVISION:USE
CONSTRUCTION: NUMBER: GROUP:
ROYAL PALMS UNIT
171404 0000 02A3.00
COMPANY: ADDRESS:
CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266
• ADDRESS:
RADTKE WILLIAM 490 SAILFISH DR E 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
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 455-0000322-1000 0 $3500
ELECTRICAL BASE FEE 1111 b-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $200
TOTAL:$94.00
Issued Date:5/21/2019 1 oft
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 !n p
Phone: , I
(904) 247-5822(�6 Email: Building-Dept@coab.us PERMIT#: a"M —dl4S
JOB ADDRESS: LM 1� h DY-- e PROJECT VALUE$
JEA INFORMATION REQUIRED ON ALL PERMITS:40 AMPSM0 VOLTS PHASE
❑ NEW SERVICE: 0Overhead Cl Underground 13Undergroundup Pole
ollesidential(Main)Service:
[30-100amps 0101-150amps [3151-200amps ramps #of Meters
DCommercial(Main)Service:
[10-100amps 13301-150amps 0151-200amps E amps MService_amps
Conductor Type Size
OMulti-Family(Main)Service:
DD-100amps 0101-150amps 0151-200amps E3amps #of Unit Meters
❑TEMPORARY POLE:_amps
❑SERVICE UPGRADE:❑ amps OCT Service_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
p100amps 0150amps i]200amps l amps D:TService_amps
❑ ADDITIONS,REMODELS, REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
• Outlets/Switches: 0-30amps 31-300amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits Catkw
Number of Lighting Outlets, Including Fixtures:
❑OTHER ELECTRICAL PROJECTS:
❑Swimming Pool[:]Sign l7Smoke Detectors (City) ❑Transfonners KVA []Motors HP
❑FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
�❑pyyR�eplace Burnt Damaged tryleter Can []Safety Inspection OPanel Change ❑OH to UG
theC M1 Ic 1IS upearedsa/n/ta
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: ".'W' ( {M 4 Phone Number:
Electrical Company:/I� I ice Phone: S _Fat. "f�'� 7
Co.Address: V City:-Algl?l kfbc�bi Staattefk9:-rLzip:3�ll)(k
rl3caLicense Holder: ertification/Registration#: O'� 4
Notadred Sfgnoture of License Halder
he foregoing instrument was acknowledged V.fore me this day f 1 210,1 in the State of Florida,County crDmAL
,IpLpNw,ygERt Signature of Notary Pub Ln LA.
/R 'y"�k'+i MYCOMRISgIQY tlGG 00nN
EXPIRES:Junezr.2o2oPersonally Known OR[ ) roduced Identification
- .,g' amEeEllruxatmyPublk uma.ian �ype of Identification: