1772 Sea Oats Dr ERES19-0167 Switches and Plugs ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
1.rIsERES19-0167
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ISSUED: 6/5/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 12/2/2019
MUST CALL INSPECTION PHONE • 1 . 247-5814 BY 4 PM FOR . INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' DA BUILDING
CODE, OF iCH CODE OF • '
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.
• : •N: VALUE OF • '
1772 SEA OATS DR ELECTRICAL RESIDENTIAL ALUMICONN ON SWITCHES $2000.00
AND PLUGS
TYPE OF
ZONING: :D •
• • GROUP:
1720200426 SELVA MARINA UNIT 08
COMPANY: ADDRESS: CITY: STATE: ZIP:
INTEGRITY FIRST ELECTRIC 920 8TH AVENUE SOUTH, #D JACKSONVILLE FL 32250
COMPANY BEACH
• ADDRESS:
SHERRILL PETER G 1772 SEA OATS DR ATLANTIC BEACH FL 32233-5829
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 . •
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
s
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date: 6/5/2019 1 of 2
Electrical Permit Application **ALL INFORMATION
} HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 CS�C'1 •_ ( (o�
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1772 Sea Oats Drive PROJECT VALUE $$ 2,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
❑ NEW SERVICE: ❑Overhead ❑Underground []Underground up Pole
pResidential (Main) Service:
00-100 amps [3101-150amps [1151-200amps ❑ amps #of Meters
❑Commercial (Main) Service:
❑0-100 amps [3101-150amps 1:1151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑0-100 amps [1101-150amps [1151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps [ICT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps aT Service amps
❑ ADDITIONS, REMODELS, 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: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
❑Swimming Pool ❑Sign ❑Smoke Detectors (Qty) [-]Transformers KVA []Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑✓ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can []Safety Inspectio Panel Change []OH to UG
[�ther:
O I7 0/1 kl r G i A^ u Updated 10/17/18
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 LvIolate the provisions of any other state or local law regulation construction or the performance of
construction. ff f I f
Owner Name: Walter Haynes b (a, 6 L.(- �Il PT f t l Phone Number: (904)246-6613
Electrical Company: Integrity First Electric Company Office Phone: (904)240-ac13 Fax:
Co.Address: 920D 8th Ave.S. City: Jacksonville Beach State: FL Zip: 32250
License Halder: Walter Haynes State Certification/Registration #: EC13003883
Notarized Signature of License Holder A
The foregoing instru=NE
wl d ed before m this y of �� 20 in the State of Florida, County of
•.• SUZANnature of Notary Pub}ic� _ � ' G�`L
R p: Y
Commi• ExPvnPersonally Known OR [ ] Produced Identification
aw4ed T -NSt01
pe of Identification: