465 Inland Way ERES19-0215 Elec for Pool ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0215
CITY OF ATLANTIC BEACH ISSUED: 7/19/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 1/15/2020
MUST CALL INSPECTION • • • 1 247-5814 BY 4 PM FOR + INSPECTION.
ALL ! ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D+ 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.
PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
JOB ADDRESS: I
465 INLAND WAY ELECTRICAL RESIDENTIAL ELECTRIC FOR POOL $1000.00
TYPE OF
• iGROUP:
169463 1537 OCEANWALK UNIT 04
COMPANY: ADDRESS:
BEACHES ELECTRIC 214 COKESBURY CT GREEN COVE FL 32043
SERVICES INC. SPRINGS
• A• r • .��
NEWBERN AMY T 465 INLAND WAY ATLANTIC BEACH FL 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.
LIST OF . • •
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 SWIMMING POOLS 455-0000-322-1000 0 $40.00
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: $99.00
Issued Date: 7/19/2019 1 of 2
17
ALL
Electrical Permit Application ='HIGHLI HIGHLIGHTED
I ON
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
" 800 Seminole Rd, Atlantic Beach, FL 32233e RS l Q j C�z LS
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
1
JOB ADDRESS: 465 Inland Way PROJECT VALUE$$ 1,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
❑ NEW SERVICE: ❑Overhead ❑Underground []Underground up Pole
Etesidential(Main)Service:
❑0-100 amps [3101-150amps [3151-200amps _amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps E3101-150amps 11151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
DD-100 amps 0101-150amps [1151-200amps ❑ 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, 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:
OSwimming 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 Inspection aanel Change []OH to UG
❑Dther: 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 to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Owner Name: Justin Newbern Phone Number: (904)860-3073
Electrical Company: Beaches Electrical Service Inc. Office Phone: (904)8293182 Fax:(904)0&Os03
Co.Address: 214 Cokesbury Ct. City: Green Cove Springs State: FL Zip: 32043
License Holder: Todd Lockwood State Certification/Registration#: ER0013172
Notarized Signature of License Holder o
The foregoing instrument was acknowledged before me this iI day o 2 t o State o Florida,C y Lia
Signature of Notary Public
TONI GINDLESPERGER
MY COMMISSION#FF 924951 [ ] Personally Known OR[ ] Produced Identification
+r +a
EXPIRES:October 6,2019 Type of Identification:
Bonded Thti Notary Public Urderwrters