659 Selva Lakes Cir ERES19-0203 meter can permit PERMIT NUMBER
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH ERES19-0203
ISSUED: 7/10/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. I'L 32233 EXPIRES: 1/6/2020
MUST CALL INSPECTION1 WMILINEM4 1 247-�M'' 47M NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
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 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.
JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
659 SELVA LAKES CIR ELECTRICAL RESIDENTIAL REPLACE METER CAN $1200.00
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172027S894 SELVA LAKES UNIT 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
Jacksonville Electrical 5950 Dunn Ave Jacksonville FL 32218
Contractors, LLC
OWNER: ADDRESS: CITY: STATE: ZIP:
VITALE JOHN P C/O JOHN P VITALE ATLANTIC BEACH F 1,, 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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 4S5-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 4S5-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA S U R CHARGE 4SS-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date� 7/10/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0203
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 7/10/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 1/6/2020
Issued Date: 7/10/2019 2 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 f)
Phone: (904) 247-5826 Email: Buildirig-Dept@coab.us PERMIT#:
JOB ADDRESS: 65q :SE I vA L o K e-s—(-,"-r C I e- PROJECT VALUE $ .11 ( �;L00 , 66
JEA INFORMATION REQUIRED ON ALL PERMITS: '3,00 AMPS ,�LVd VOLTS I PHASE
El NEW SERVICE: El Overhead OUnderground F]Underground up Pole
[]Residential(Main)Service:
00-100 amps 0101-150amps []151-200amps 0_amps #of Meters
E)Commercial (Main)Service:
E30-100 amps 0101-150amps E3151-200amps El amps [-]CT Service_amps
ConductorType Size
E]Multi-Family(Main)Service:
E10-100 amps [1101-150amps [1151-200amps E1_amps #of Unit Meters
EITEMPORARY POLE: amps
SERVICE UPGRADE: 0 amps EICT Service_amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
E1100amps [1150amps 0200amps R_amps [_-]CT Service_amps
El 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 Circu*its: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
[15wimming Pool[3Sign []Smoke Detectors_(Qty) aransformers KVA L]Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty voltsJamps
REPAIRS/MISCELLANEOUS:
E�Replace Burnt/Damaged Meter Can E]Safety Inspection []PanelChange []OH to UG
F]Dther: Updated 10/17118
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 violat"the provisions of any other state or local law regulation construction or the performance of
constructmn. . -- AL \�J`T A( 4P Phone Number: �'o Y- �'U/6-7 X
Owner Name: i,- i,,
Electrical Company: We, t5 I't�4-' Office Phone:—�W- f�� 1&'7Y Fax:
Co.Address; 5`15o Ov"r-j A-Ctj,1C City: -jck'�Y' -State: VL zip, 3X-A-\-9
LicenseHolder: -77;�),+4 jZ -1- State Certification/Registration#:
Notarized Signature of License Holder_
The foregoing instrument was acknowledged before me this Ala ay of �11/' 20 in the State of Florida, County of Nva L
JFAN DOASE WTON Signature of Notary Public QJ 0jK QZL LtD��
C0106"#GG 193416
EVWBAM22,2022 Personally Known OR P r ed Identif,C*ion
8"WWnffl8U"NdVy& Type of Identification:
Cash Register Receipt Receipt Number
City of Atlantic Beach R9513
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
ERES19-0203 Address: 659 SELVA LAKES CIR APN: 172027 5894 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R9513 $94.00
Date Paid: Wednesday,July 10, 2019
Paid By: Jacksonville Electrical Contractors, LLC
Cashier: CT
Pay Method: CREDIT CARD 022398
Printed:Wednesday,July 10,2019 12:13 PIVI I of 1