1921 Seminole Rd ERES19-0150 3 Outlets, 6 Fixtures ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
•.A ERES19-0150
CITY OF ATLANTIC BEACH ISSUED: 5/22/2019
800 SEMINOLE ROAD
r+v% EXPIRES: 11/18/2019
ATLANTIC BEACH.FL 32233ALL WORK MUST CONFORM TO THE CURRENT 6TH
NO
• • r • •
CODE, NEC, IFIMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
FCE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
may be found in the public records of this county,and there may be additional permits required from other
nmental entities such as water management districts,state agencies,or federal agencies.
200 amps/240 volts/first $300.00
1921 SEMINOLE RD ELECTRICAL RESIDENTIAL phase - 3 outlets, 6 fixtures
TYPE OFREAL ESTATE
ZONING:
CONSTRUCTION: NUMBER: GROUP:
169542 0530 BEACHSIDE
JACKSONVILLE FL 32250
DUVAL ELECTRIC LLC 2109 1ST STREET SOUTH BEACH
JONES RAYMOND E 1921 SEMINOLE RD ATLANTIC BEACH FL 32233-5903
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.
777
RIPTION ACCOUNT QUANTITY PAID AMOUNT
TS,INCLUDING FI%TURESa55CD 'o 'DIED 5 $3.60
455.00DD-323-1000 0 $1.BD
RECEPTACLE OURETS $55 OD
AL BASE FEE 455-DODO-322-ING D455-0000-2De-0700 $200
R SURCHNRGE WA SURCHARGE 455,0000 208-060D
O
Issued Date:5/22/2019
1 oft
N+ ' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0150
CITY OF ATLANTIC BEACH ISSUED:5/22/2019
800 SEMINOLE ROAD
ATLANTIC BEACH.FL 32233 EXPIRES: 11/18/2019
TOTAL:$60A0
Issued Date:5/22/2019 2 of 2
ALL
" INFORMATION Electrical Permit Application HIGHLIGHTED IN
-) City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building--Dept@ccab.us PERMIT#: ('r. ! S1' -cISD
JOB ADDRESS: �9d/ 1'�Y19, ir/O �A' _PROJECT VALUE $�30,9 62,0
JEA INFORMATION REQUIRED ON ALL PERMITS:,,k2 AMPS261�VOLTS PHASE
❑ NEW SERVICE: o Overhead ❑Underground oth derground up Pole
oResidential(Main)Service:
o0-100 amps ❑101-150amps ol51-200amps camps It of Meters
❑Commercial(Main)Service:
nO-100amps ❑101-150amps 0151-200amps ❑ amps oCTService amps
Conductor Type Size
oMulti-Family(Main)Service:
❑O-100amps 0301-I50amps :151-200amps ❑_amps Jl of Unit Meters_
❑TEMPORARY POLE:_amps
❑ SERVICE UPGRADE: ❑ amps oCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
ol00amps ❑150amps o200amps ❑_amps FICTService_amps
❑ ADDITIONS, REMODSLS,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: 0 circuits @7 kw,
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
❑Swimming Pool oSign ❑Smoke Detectors (Qty) oTransformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM(Requires 3 sets of plans):
City volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace B}+�nt/Damaged Meter an ❑Sa y Inspection ❑P nel Change ❑OH to UG
❑Other. kcala +moo _ 451 1 �w.va/ , `rn / Plill
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: a JNeS Phone Number: p!�
Electrical Company: ` (� Office Phone: 7V y — ZID 3 C Q Y Fax:
Co.Address:p7L9 li Si S City:./ 49906 State:
III
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License Holder: le-Q.State Certification/Registration#: II �y iZb
Notarized Signature ojLie Holder
Theforegoing instrument was acknowledged bei athisday of 20 in he State of Florida,County of W94
UWURO audx3 uvaauxw0 fir. ignature of Notary Public //
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rougJloyvla'plRnd/uBWN p [(TPersonally Known OR Produced identification _,;IN EDMOND VATA
YlYn^,vpy!03 `i Type of Identification: . NWry PoMie,Slala d Fbdds
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