2020 Vela Norte Cir ERES19-0163 11 Fixtures p ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0163
n ISSUED: 6/3/2019
800 SEMINOLE ROAD EXPIRES: 11/30/2019
v ATLANTIC BEACH. FL 32233
MUST CALL
f ,INSECTION PHONE LINE • DAY INSPECTION.
ALL • • •CONFORM TO • • r OF • • • • BUILDING
K MUST
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE:In addition to the requirements of this permit,there maybe 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.
2020 VELA NORTE CIR ELECTRICAL RESIDENTIAL ELECTRIC 11 FIXTURES $800.00
• ' SUBDIVISION:
TYPE ZONING: GROUP:
CONSTRUCTION:
• 1695061044 SELVA NORTE UNIT01
PAGEMASTERS ELECTRICAL 45102 MUSSLEWHITE RD CALLAHAN FL 32011
INC
OWNER: ADDRESS:
TED L HAUSER 2020 VELA NORTE CIR 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 LIGHTING OUTLETS,INCLUDING FI%rURES
4550000-322-1000 11 $6.60
455-0000-322-1000 0 $5500
ELECTRICAL BASE FEE $200
STATE DBPR SURCHARGE 455-0000-208-0]00 0
4550000208-0600 0 $200
STATE DCA SURCHARGE TOTAL:$65.60
Issued Date:6/3/2019 1 of 2
ALLINF ON
Electrical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY 15 REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 322332
Phone: (904) 247-5826 Email: Building-Deptl3kciab.us PERMIT#: 2ESA 17- Q
- �7
JOB ADDRESS: O 1l e-I A NOfTC if 4- PROJECT VALUE$ EDO R0�
33
JEA INFORMATION REQUIRED ON ALL PERMITS: LOOAMPS ;�Y 0 VOLTS I PHASE
❑ NEW SERVICE: o Overhead oUnderground ❑Underground up Pole
oResidential(Main)Service:
00-300 amps o101-150amps :151-200amps damps qof Meters_
:commercial)Main)Service:
00-100amps :101-150amps 0151-200amps d amps oCT'Service—amps
Conductor Type Size
pMulti-Family(Main)Service:
o0-100 amps 0101-150amps :151-200amps o amps Nof Unit Meters_
❑ TEMPORARY POLE:_amps
❑ SERVICE UPGRADE: Damps oCTService_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
:100amps 0150amps u200amps 0—amps OCTSemice_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: N circuits @ kw
Number of Lighting Outlets, Including Fixtures: 3
❑ OTHER ELECTRICAL PROJECTS:
oSwimming Pool oSign uSmoke Detectors (Qty) oTransformers KVA uMotorsHP
❑ FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
oReplace Burnt/Damaged Meter Can uSafety Inspection :Panel Change oOH to UG Undatedzp/v/te
:Other.
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. Phone Number: $04V- -2/ 5- 7�3�
Owner Name:- (� A �ro-o�
Electrical Company: �ctoa MKK2'FiS �IPI.TK.i,,ol Office Phone: 96 Y"2/P3 -V3/5� Fax:
,
Co.Address:yyi n.1 /YI cS lea ea City: CA-41a� emr� State: zip:
License Holder: ��ry_-f'I V !�az '� State Certification/Registration H: /1SS S
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this ay o Ath a of Iorida,County of L/C7JRJ
Signature of Notary Public �-
"""d'p TONIGINOLESPERGER
MV COMMISSIONaFFa2a951 ( I Personally Known OR 1 )Produced Identification _Q
EXPIRES:October 6.M18 Type of Identifications � - it
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