1755 Beach Ave ERES19-0164 - 2 Outlets/4 Fixtures ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0164
4/2019
_ 800 SEMINOLE ROAD ISSUED: 6/
++v ATLANTIC BEACH, FL 32233 EXPIRES: 12/1/2019
MUST CALL
ALL • . INSPECTIONCONFORM TO THE CURRENT ISTH EDITIONt OF • • • • BUILDING
CODE, NEC, IPMC, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county,and there may be additional permits required from other
governmental entities such as water management districts,state agencies,or federal agencies.
• . • rr . • • OF • '
1755 BEACH AVE ELECTRICAL RESIDENTIAL 200 amps/240 volts/first $800.00
phase-2 outlets, 4 fixtures
TYPE OF ZONING: • : •
CONSTRUCTION: NUMBER: GROUP:
NORTH ATLANTIC BCH
169672 0000 UNIT 1
COMPANY: Dr '
DECO ELECTRICAL 13046 DUNN CREEK RD JACKSONVILLE FL 32218
CONSTRUCTION
• ADDRESS:
1D SWANSON LIVING 1755 BEACH AVE ATLANTIC BEACH FL 32233
TRUST
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 rlghtof-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0OCU-32b1000 4
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-3221000 1 0 $L20
ELECTRICAL BASE FEE 4550000-322-1000 0 $SS.DO
Issued Date:6/4/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
J CITY OF ATLANTIC BEACH ERES19-0164
ISSUED:6/4/2019
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233 EXPIRES:12/1/2019
STATE URPR SURCHARGE 1466-0000-20&0)(10 0 $2.00
STATE DCA SURCHARGE 455-0 20MWO D 1 $2'W
TOTAL:$62.60
Issued Date:6/4/2019 2 of 2
Electrical Permit Application '*AULATION
pP HIGHLIGHTED IN :€,
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
'"t n"'" Phone: (904) 245826 Email: Building-Dept@c0ab.us PERMIT#: E2E "oflip
JOB ADDRESS:_j-FB W2t�k AIIL PROJECTVALUE$ RrG�t�
JEA INFORMATION REQUIRED ON ALL PERMITS:Ll SjAMPS eCjQVOLTS_/—PHASE
❑ NEW SERVICE: ❑Overhead oUnderground oUnderground up Pole
:Residential(Main)Service:
oO-100amps 0101-150amps n151-200amps d amps #of Meters_
oCommercial(Main)Service:
DO-100amps o101-150amps . :151-200amps Damps nCT Service amps
Conductor Type Size
oblultl-Family(Main)Service:
:0-100 amps 0101-150amps 0151-200amps :_amps #of Unit Meters_
❑ TEMPORARY POLE:_amps
❑ SERVICE UPGRADE: :_amps OCT Service_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
:100amps n150amps o200amps :_amps cCr Service amps
❑ ADDITIONS, REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: Z 0-30amps 31-100amps _101-200amps
Appliances: 0-30amps 31-300amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @kw
Number of Lighting Outlets, Including Fixtures: _
❑ OTHER ELECTRICAL PROJECTS:
:Swimming Pool DSign oSmoke Detecrors (City) oTransformers KVA DMotors HP
❑ FIRE ALARM SYSTEM(Requires 3 sets of plans): I
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
DReplace Burnt/Damagee,,�Meter Cap DSafe��t.4y�insgqectian DPanel Change nOH to UG Updoteeio/v/ta
:Other: faJ.'v:.d. -Iv5' 6k _ rVSv ( :nhnhd _
Permit becomes void if work d of 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
constmction.
Owner Name: N Phone Number:
Electrical Company: a Office Phone:Tit/ �CJ9 dS Fax:
Co.Address: City: State: Zip:
License Holder: State Certifcation/Registration#: AAA ppen�
Notarized Signature of License Holder p l
MM
rument was ledged before me this day of I-tlA 20 t N the State of Florida,County of
IFE0.JOHNSTON Signature of Notary Publicjo
MIa510N#GG 042084 .EB.OMber2F,sato Personally Known OR 6e QQentificaWipn 1,NwrrPwlxwa.Naaa+ Type of Identification: % 41;i4', rd4Jrn