825 Sherry Dr ERES19-0221 New Elec Service ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0221
CITY OF ATLANTIC BEACH
J ~) 800 SEMINOLE ROAD ISSUED: 7/29/2019
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ATLANTIC BEACH. FL 32233 EXPIRES: 1/25/2020
MUST CALL INSPECTION ' • 914 BY 4 PM FOR NEXT DAY ' •
CODE,ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
OF BEACH CODEOF 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:
825 SHERRY DRIVE ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE $14000.00
TYPE OF
ZONING: :D •
• • GROUP:
COMPANY: ADDRESS:
BEACHES ELECTRIC 214 COKESBURY CT GREEN COVE FL 32043
SERVICES INC. SPRINGS
OWNER: ® STATE: zip
Bar Realty Group
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.
7EDESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
LEC NEW SINGLE FAMILY 455-0000-322-1000 300 $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.18
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $149.18
Issued Date: 7/29/2019 1 of 2
ALL
Electrical Permit Application **HIGHLI HIGHLIGHTED
IN HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 C-1,If_"C�J t 1 _ 02Z
Phone: (904) 2417-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 2-� Y�C�(�(`y 1 PROJECT VALUE $
JEA INFORMATION REQUIRED ON ALL PERMITS: .3(XAMPS , OVOLTS_j_PHASE
❑`NEW SERVICE: ❑ Overhead 4eOnderground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps ❑101-150amps ❑151-200amps P!�30a amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ECT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
r 0-100 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 ❑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:
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 Inspection ❑Panel Change ❑OH to UG
Updated 10117118
❑Other:
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: S �PP CPIL Phone Number:
i y q
Electrical Company: �(i!h C�C_c,.. COIL Office Phone: ��l G J ( Fax:
Co.Address: l Co City: (0( 5 State: zip:3Z% j
License Holder: '% State Certification/Registration#:
Notarized Signature of Lic nse Holder .....��
The foregoing instrument was acknowledged before me this qday o 2q 7,kteqFrid ,County of
-Fi'•; TO NIGINDLESPERGER Signature of Notary PPub//lic �f
MY COMMISSION#FF 924951
°^'• o EXPIRES:October 6,2019 ersonally Known OR[ ] Produced Identification
BondedThruNotaryPubl'cUndernIers Type of Identifications