254 S Oceanwalk Dr ERES19-0204 Bath Remodel ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0204
ISSUED: 7/10/2019
800 SEMINOLE ROAD
rjjoq; EXPIRES: 1/6/2020
ATLANTIC BEACH, FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • '
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
254 S OCEANWALK DR ELECTRICAL RESIDENTIAL BATH REMODEL- 3 $800.00
FIXTURES
TYPE OF
ZONING: :D •
• • GROUP:
169463 0508 OCEANWALK UNIT 02
COMPANY: ADDRESS: '
ROBBINS ELECTRICAL 7748 NORMANDY BLVD JACKSONVILLE FL 32221
SERVICES
OWNER-:------ ADDRESS:
BRANDSTAETTER
RAYMOND 254 OCEANWALK DR S ATLANTIC BEACH FL 32233-4676
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 3 $1.80
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
Issued Date: 7/10/2019 1 of 2
Electrical Pit Application "ALL INFORMATION
ermpp
HIGHLIGHTED IN
Jt City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 9� 14: S 19 r- C2 c-4
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: �` ! Jn16I
JOB ADDRESS: `7 ac e_ ice, PROJECT VALUE $ e 0. "a�
JEA INFORMATION REQUIRED ON ALL PERMITSZQ=,;g._AMPSL1lQ VOLTS PHASE
❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential (Main)Service:
110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps ❑101-150amps E1151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps ❑101-150amps o151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
❑ ADDITIONS, REMODEL , REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: Z Z0-30amps 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: -7
❑ 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/pamaged Meter"Can Safety Inspection ❑Panel Change ❑OH to UG
,iOther: aol`f`Qp1, e3 01 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 authoriy to vioe the provisions of any other state or local law regulation construction or the performance of
construction. - �l`
Owner Name: �" /3) o Phone Number: nL - 316 ^�
Electrical Company: .rCW�e--Office Phone: Q���i /l Fax:
Co.Address: 17 city: G„[ 9t-L/! C State:ff--Zip:
License Holder: /� �� State Certification/Registration#E7Z,4b1-3
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me thisL Q) l int,e State of Florida,County of
{ _ Signature of Notary Public
TONIGINDLESPERGER [ ] Personally Known OR[ ] Produced Identificratioon
MY COMMISSION#FF 924951 R I z t q - -7 (d
Type of Identification:
!
.. �x EXPIRES:October 6,2019
�h` Borxled Thru Notary Public Underwriters
Cash
City of Beach R951 •
DESCRIPTION • QTY PAID
PermitTRAK $60.80
ERES19-0204 Address: 254 S OCEANWALK DR APN: 169463 0508 $60.80
ELECTRICAL $56.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 3 $1.80
FIXTURES
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTALR9518 $60.80
Date Paid: Wednesday,July 10, 2019
Paid By: ROBBINS ELECTRICAL SERVICES
Cashier: CB
Pay Method: CREDIT CARD 8
Printed:Wednesday,July 10, 2019 1:36 PM 1 of 1 or