1875 Beach Ave ERES19-0224 Remodel ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0224
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 7/30/2019
ATLANTIC BEACH. FIL 32233 EXPIRES: 1/26/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA 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: PERMITTYPE: DESCRIPTION: _VALUE OIF�WORIK-.
1875 BEACH AVE ELECTRICAL RESIDENTIAL ELECTRIC REMODEL- 13 $1200.00
FIXTURES
TYPE OF REALESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
NORTH ATLANTIC BCH
1696810000 UNIT 2
COMPANY: ADDRESS: CITY: STATE: ZIP:
VALDAN ELECTRIC CO. 338 19TH ST ATLANTIC BEACH FL 32233
OWNER: ADDRESS: CITY: STATE: ZIP:
NOTTMEIER ERIC 2055 BEACH AVE 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.
OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 13 $7.80
ELECTRICAL BASE FEE 4SS-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.001
TOTAL: $66.801
Issued Date: 7/30/2019 1 of 2
"ALL INFORMATION
Electrical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY 15 REQUIRED.
z
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: - 1,? 7,-5- 11 PROJECT VALUE$ Z
JEA INFORMATION REQUIRED ON ALL PERMITS:3-"�' AMPS , y ,, VOLTS PHASE
NEW SERVICE: 0 Overheod 0Underground OUnderground up Pole
[]Residential (Main) Service:
CIO-100 amps [1101-150amps C]151-200amps 0—amps #of Meters
[]Commercial (Main)Service:
[30-100 amps 0101-150amps 0151-200amps []_amps []CT Service amps
Conductor Type Size
OMulti-Family(Main) Service:
[10-100 amps 0101-lSOamps C]151-200amps [3_amps #of Unit Meters
TEMPORARY POLE: amps
E] SERVICE UPGRADE:0--amps F1CT Service—amps
F-1 NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
C]100 amps C]150amps C]200amps [3_amps CICT Service_amps
El ADDITIONS, REMODWS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
0 utl ets/Sw itch es:4, 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:
E]Swimming PoolEjSign E]Smoke Detectors (Qty)[—]Transformers KVA E]Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
FIREPAIRS/MISCELLANEOUS:
F-lReplace Burnt/Damaged Meter Can F—]Safety Inspection E]PanelChange E]OH to UG Updoted 10/17118
DDther:
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
con struction
Owner Name: o,4.4/qeL— j- k- Phone Number: 2
Electrical Company: V4L 0.4 N ELf' I Office Phone: 54-,-c,— Fax:
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Co.Address: L City: c t)i Otate: Zi p:
License Holder: IV vvIZ—J4A State Certi'fi'cation/Registration#:/S'L
Notarized Signature of License Holder "ig" 40V --Z�
The foregoing instrument was acknowledged before me thi day o dSt of Florida,County of
t��of Flon
Signature f Notary Public
TONI GINDLESPERGER rso
rsonally Known OR[ Produced Identification
�--jk I.� My COmMISSION#FF 924951
Type of Identification:
EXPIRES:octob.r 6,2019
Bonded,Thru Notary public Underwriters
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