1912 Oak Circle ERES19-0213 Remodel/Panel Change ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r ERES19-0213
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ISSUED: 7/18/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 1/14/2020
MUST CALL INSPECTION • • • 1 BY 4 PM FORDAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ! 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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1912 OAK CIR ELECTRICAL RESIDENTIAL BED ROOM REMODEL AND $500.00
PANEL CHANGE
TYPE OF !
• : � •
• • GROUP:
172020 1254 SELVA MARINA UNIT
12A
COMPANY: ADDRESS:
HUNTER ELECTRIC 11624 DAVIS CREEK ROAD EAST JACKSONVILLE FL 32256
COMPANY
• ADDRESS:
COOK THOMAS J 1912 OAK CIR ATLANTIC BEACH FL 32233-4506
r
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 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
45
STATE DCA SURCHARGE 5-0000-208-0600 0 $2.00
Issued Date: 7/18/2019 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 pp
Ph(904) 247-5826 Fax (904) 247-5845 �1\ CS�Qf 'bzl�
JOB ADDRESS: I �GS PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS o(OU AMPS
,CVOLTS PHASE
VALUE OF WORK$ 45D C)
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps []_amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
1:10-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 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 VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can El Safety Inspection `Anel Change DOH to UG
❑Other: rC G.j a e\S btd nmjws
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.
Property Owners Name 7�U s (�w Phone Number o2-3q'5'7 1
Electrical Company_ "U �e( `lac�nC, Office Phone c9(0�-1110-5 Fax �(.¢t'01)73
Co. Address: Mp P-I-k ;J Crc c IL P-d 6(tsk- City �Gc(G,SUOU'f l e' State n Zip 3�-2S-'{o
License Holder(Print): tate Certification/Registration# 13bo-.2j_-I�
Notarized Signature of License Holder
REBECCA RUSH Before me this Vy�'N day of UL 20 11
Notary Public,State of Florida
My Comm.Expires 07/12/21 Signature of Notary Public
Commission No.GGIO1570