66 11th Street West ERES19-0161 Panel Change ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0161
ISSUED: 5/31/2019
800 SEMINOLE ROAD EXPIRES: 11/27/2019
ATLANTIC BEACH, FIL 31ZII----------------------—J
ALL WORK MUST CONFORM TO 1 Ht LJLKffF[WbI
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 0 a,restrictions applicable to this property
FNOTIC.1- 11,n Rdd.,,,,on to the requirements of this permit,there may be add ti n In
t OT'Er.'Y f ..d.to t B 'Oqu' me' may be additional permits required from ot BE
that may be found I,the public records of this county,and there
p
over En Fit.l t.t�
I. S.c as at.,
governmental entities such as water management districts,state agencies,or federal agencies.
g
200 amps/240 volts/first
66 W 11TH ST ELECTRICAL RESIDENTIAL phase- panel change for $1400.00
both units
TYPE OF REALESTATE BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: ZONING: G.ROUP:
ATLANTIC BEACH SEC H
1708110200
AMERICAN ELECTRICAL 5065 STALIGUSTINE RD#13 JACKSONVILLE FIL 32207
CONTRACTING, INC.
'-It,there OR ybe add It....1 restriction
I-ty,.rid there may beadd Tonal Perm
".'e Been oe, or federal agen
OWNER: ADDRESS: CITY: STATE: ZIP:
ble to this Property
from.
Sa pplCa�
Its required the,
ties.
MANN L CHARLES 165 ARUN'TTMNR" JACKSONVILLE FIL 32211-7863
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=BEFORERECORDING 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 FAIL AMOUNT 3500
ELEC REPARS AND MISC 455 0000-322 1000 0 $55.00
ELECTRICAL BASE FEE 455 OOM-322 IWO 0
0 $2M
STATE DBPR SURCHARGE 455 WOO 209 07M $2.00
STATE DCA SURCHARGE 455 DOOR 208-06M 0
issued Date:5/31/2019 1of2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0161
CITY OF ATLANTIC BEACH ISSUED: 5/31/2019
800 SEMINOLE ROAD EXPIRES: 11/27/2019
ATLANTIC BEACH. FL 32233
r TOTAL $94.
010
l,s,ed Date: 5/31/2019 2 of 2
"ALL INFORMATION
Electrical Permit Application HIGHLIGHTED IN
ol GRAY IS REQUIRED.
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
60L_Slq_0((V1
Phone: (904) 247-S826 Email; Building-Dept2coab.us PERMIT#:_
JOB ADDRESS:'56 West 1 Ith Street PROJECT VALUE$f$1,400�00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS:_240 VOLTS L3 PHASE
NEW SERVICE: ClOverhead OUnderground CILinderground up Pate
13Residential(Main)Seri
E]O-loo amps C1101-150amps C1151-200amps n mps It of Meters—
DCommercial(Main)Semice:
13if-illoamps 13101-150amps 13151-200amps CL—amps M Service—amps
Conductor Type_Size
CIMulti-Family(Main)Service:
Mioloamps E3101-150amps [3151-200amps rii—amps #ofUnitMeters—
TEMPORARY POLE:--mPS
OSERVICE UPGRADE:[1--_--amps OCT Service_amps
F-1 NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
[3100amps E3150amps 13200amlis 11--OmPs MSewice_amps
DADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
outlets/switches: 0-30amps _____31-100amps —101-200amps
Appliances: ____0-30amps _____31-IGOamps _101-200amps
A/C Circuits: ____0-60amps ____61-100amps
Heat Circuits: —#circuits @_kw
Number of Lighting Outlets, Including Fixtures:
E]OTHER ELECTRICAL PROJECTS:
Dwimming Pool oSign Unmake Detectors_(QtY) (3Transformers_KVA []Motors HP
F-1 FIRE ALARM SYSTEM(Requires 3 sets of plans):
City_Volts/amps—
F�REPAIRS/IMISCELLANEOUS:
[]Replace Bumi/Damaged Meter Can CISafety Inspection BPanel Change []OH to UG UpdatedID117118
0)ther diwimw�—
Permit becomes void if work do.,runnummence within a six month period or work is suspended or abandoned for six months. I hereby rarefy that I haye
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this words will be odmplied with whether
,Pecified.,n.t. The pervolt does nor give authority to violate the provisions dram,other state or local law regulation construction ortheperformanceof
construction Phone Number.'
owner Name:Charlie Mann
Electrical Companyi American Else n.-IOffice Phone:dWalf"" _Fa.i—
Co.Address: 5065 St Augustine Rd. City:Pac�aonvllle Stat.:EL�LZII,:P2207
License Holder:L Earl W. Frick State Certification/Registration ir: EC13007311
Notarized Signature of License Holder i ;;Z/14,
The foregoing instrument was acknowledge.d before me this3LcIalliftim ofMrida,County f U
of Par. SilirlitUr.of Notary Public
as 7 [ 3dirsonally Known OR Produced Identification
-swers"marx" �ofldentlfication:
% ="'r G."..
Exports
LAID I Ind
com 'auG
ff%,:_-1 :-11 Is 113
Cash Register Receipt Receipt Number
19 City of Atlantic Beach R9198
DESCRIPTION ACCOUNT
PermitTRAK $94.00
ERES19-0161 Address: 66 W 11TH ST APN: 1708110200 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE $55.00
ELEC REPAIRS AND VISC 20 $35DC
STATE SURIERMIGES $4.00
STATE DBPR SURCHARGE :;55-00'2 '�07 $2.00
STATE DCA SURCHARGE 10 000
TOTAL FEES PAID BY RECEIPT: R9198 $94.00
Date Paid: Friday, May 31,2019
Paid By:AMERICAN ELECTRICAL CONTRACTING, INC.
Cashier:CT
Pay Method: CREDIT CARD 020985
Printed:Friday,May 31,2019 3:29 PM 1 of 1