1832 Tierra Verde Dr ERES19-0147 Add Appl/Outlets ,t ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0147
ISSUED: 5/22/2019
800 SEMINOLE ROAD EXPIRES: 11/18/2019
°+ ATLANTIC BEACH. FL 32233
MUST CALL
Y 4 PM FOR NEXT DAY INSPECTION.
• . INSPECTION• • . • • • t OF • • D• BUILDING
ALL
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
F
ICE: In addition to the requirements of this permit,there may be additional restrictions applicableto this property
may befound in the public records of this county,and there may be additional permits required from other
ernmental entities such as water management districts,state agencies,or federal agencies.
150 amps/240 volts/first
1832 TIERRA VERDE DR ELECTRICAL RESIDENTIAL phase-add appliances, $800.00
outlets
TYPE OF ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169542 5056 SELVA TIERRA
COMPANY: CITY: STATE: ZIP:
ADDRESS:
GREEN BUILT
CONSTRUCTION & 3653 REGENT BOULEVARD,#306 JACKSONVILLE FL 32224
DEVELOPMENT
OWNER: ADDRESS:
KRASUTSKY EVE ETAL 1513 OCEAN FRONT NEPTUNE BEACH FL 32266
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 �0 �
PAID AMOUNT
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 ELEC SWITCH AND RECEPTACLE OUTLETS 4550000.322.1000 1 $3.60
ELECTRICAL BASE FEE 455-0000.322-1000 1 0 $5500
Issued Date: 5/22/2019 1 of 2
L ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
o ERES19-0147
CITY OF ATLANTIC BEACH ISSUED: 5/22/2019
' 800 SEMINOLE ROAD
tvE%PIKES: 11/18/2019
ATLANTIC BEACH. FL 32233
STATE DBPR SURCHARGE 455-0000-208-0700 0 $200
STATEOUSURCHARGE 455-0 208-0B00 0 $2.00
TOTAL:$66.60
Issued Date:5/22/2019 2 of 2
IGINFORMATION
Electrical Permit Application
HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 0111 -f
Phone: (9{04) 247-5826 Email: Building-Dept@coab.us PERMIT 0: iter F3
JOB ADDRESS: 1831 re, .IA UelLOE, p1L AT4'eo"A PROJECT VALUES 5500- aa
JEA INFORMATION REQUIRED ON ALL PERMITS: 15- AMPS 'Li a VOLTS I PHASE
❑NEW SERVICE: C10verhead OUnderground 13Underground up Pole
ptesidential(Main)Service:
C30-100 amps CI101-150amps M51-200amps 13 amps It of Meters
CICommercial(Main)Service:
E30-100 amps 11101-150amps 13151-200amps Camps C1CT Service_amps
Conductor Type Size
OMulti-Family(Main)Service:
OD-100amps 11101-150amps []151-200amps Camps #of Unit Meters
❑TEMPORARY POLE:_amps
SERVICE UPGRADE:11 amps EXT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
C3100amps []150amps 0200amps 0 amps CYTService amps
LYJ ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches: 6 0-30amps 31-100amps _101-200amps
Appliances: 7- 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: It circuits @ kw
Number of Lighting Outlets, Including Fixtures:
❑OTHER ELECTRICAL PROJECTS:
❑Swimming Pool❑Sign ❑Smoke Detectors (Q[y) ❑fransformers KVA []Motors HP
❑FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
[]Replace Burnt/Damaged Meter Can OSafety Inspection panel Change []OH to UG
Other: uvmtedi(rr/ia
Permit becomes void if work does not commence within a sic month period or work is suspended or abandoned for six monthsIhereby 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
specfied 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. C✓L' k"5 , f s ki 9 ay— "7'/7-•3L'�7t
Owner Name: N Phone Number:
Electrical Company: 6recw Oaf it eo�fr"nwcn.•+ Office Phone: qdo"1q -066" Fax:
Co.Address: 3l R.iIe T 131,,0 City: api state: Fr-zip: 3L2Ly
License Holder: 20'SeAa- t)A0` StateCertification/Registration p: 64 l�� 64i1
Notarized Signature fL' H Id
The foregoing instrument was acknowledged before methist��dayof (.� 20� in the State of Florida,County of
fly
Signature A Notary Public IV` 11Y'
bk=l
RJOHNG0 ��g10Np GG Oi2981 [ I Personally Known OR[ym U d Id ntlfj[atla Oabber2"1,2020 �(1VD �tary Publ'c Uxx,wlen Type of Identifications J