2006 Beach Ave ERES19-0226 Underground ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0226
ISSUED: 7/30/2019
800 SEMINOLE ROAD
''31r ATLANTIC BEACH. FL 32233 EXPIRES: 1/26/2020
MUST CALL INSPECTION914247-5814 BY 4 PM FORDAY !
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' ! + BUILDING
• ! AND CITY OF + NTIC 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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
2006 BEACH AVE ELECTRICAL RESIDENTIAL UNDERGROUND SERVICE $1500.00
TYPE OF BUILDING
• • GROUP:
169702 0050 NORTH ATLANTIC BCH
UNIT3
COMPANY: +D! • '
CLAYTON'S ELECTRIC 367 SISCO RD POMONA PARK FL 32181
SERVICE INC
_ 01773 �� ADDRESS:
HUFFMAN VIRGINIA 2006 BEACH AVE ATLANTIC BEACH FL 32233-5935
MCGUIRE TRUST
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 CONDITIONS
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 45S-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 4S5-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00
Issued Date: 7/30/2019 1 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 REsl
Phone: (904y) 247-518/26 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: � �C 1,7�;-C7(04t AL,z-_7 PROJECT VALUE $
JEA INFORMATION REQUIRED ON ALL PERMITS: 711C� VOLTS PHASE
❑ NEW SERVICE: ❑ Overhead VAderoround ❑Underground up Pole
❑Residential (Main) Service:
❑0-100 amps 7101-150amps 1-200amps ❑ amps #of Meters
❑Commercial (Main) Service:
❑0-100 amps o101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
F-0-100 amps :i101-150amps ❑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 i
❑ 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 iSmoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can oSafety Inspection ❑Panel Change ❑OH to UG
❑Other: 1� 7 ( 1v G, E2 V ( C � Updated l0/17/18
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: ( j c�4 Phone Number:
Electrical Company: 6sZL&"IS Ek- Office Phone: �- Fax:
Co.Address: oS(51�b f�!�c7�rc�y City: �l�^t:a ►� Stater zip: ' `�
License Holder: �Gt Lel State Certification/Registration#: FF (BOO�-fi I 62�'
Notarized Signature of License Holder 22 `
The foregoing instrument was acknowledged before me thiss�ay f in th State of Florida,County of Duoo'(
---- Signature of Notary Pubic
Rom
GINpLESPERGERMISSICN#FF 924951Personally Known OR[ ] Produced Identification
ES:October 6,2019 Type of Identification: rJ Z 1 ru Notary Pubk underwriers