1707 Beach Ave ERES19-0228 Tesla Charger ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0228
CITY OF ATLANTIC BEACH
ISSUED: 8/1/2019
800 SEMINOLE ROAD
r
r ATLANTIC BEACH. I'L 32233 EXPIRES: 1/28/2020
MUST CALL INSPECTION PHONE LINE (904) 247-S814 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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1707 BEACH AVE ELECTRICAL RESIDENTIAL TESLA CHARGER $300.00
TYPE OF REALESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
NORTH ATLANTIC BCH
1696600000 UNIT I
OMPANY: ADDRESS: CITY: STATE: ZIP:
C
L
AMERICAN ELECTRICAL S065 ST AUGUSTINE RD #13 JACKSONVILLE FL 32207
CONTRACTING, INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
L---- -----
MALLOY JENNIE S 1707 BEACH AVE ATLANTIC BEACH FIL 32233-5838
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.
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 4SS-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 a $S5.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4SS-0000-208-0600 0 $2.00
TOTAL: $94.00
lssued Date: 8/1/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0228
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 8/l/2019
/28/2020
ATLANTIC BEACH. FIL 32233 EXPIRES: 1
issued Date:8/l/2019 2 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 C—, 1—, 9
Phone: (904) 247-5826 Email: Building-Dept@cclab.us PERMIT M -
JOB ADDRESS: r—N PROJECT VALUE
JEA INFORMATION REQUIRED ON ALL PERMITS:,,2C'0 AMPS 1.43/OLTS PHASE
NEW SERVICE: (3 Overhead 13inderground E3Underground up Pole
E311esidential(Main)Service:
[30-100 amps 0101-150amps 13151-200amps 0_amps #of Meters
Mommercial(Main)Service:
[30-100 amps 0101-150amps 11151-200amps [3—amps [3CT Service amps
Conductor Type Size
MMulti-Family(Main)Service:
00-100 amps 0101-150amps []151-200amps E3_amps #of Unit Meters
TEMPORARY POLE: amps
DSERVICE UPGRADE:El amps OCT Service_amps
El NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
E3100amps [3150amps []200amps [3_amps EICT Service_amps
0 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 OSign DSmoke Detectors_(Qty) aransformers KVA DMotors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
e e� E]PanelChange E)OH to UG
11�eplace B /D d M tj Can f
_Wth1;3n�aa,e Ill a t Inspection
er: Es Updated 10/17118
Perm it 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
specifieclornot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. r
Owner Name:f\,WO RA4*LOY Phone Number:`
Office Phone:,'
Electrical Company: "Y �CA Fax:
Co.Address:(:�ous city:,'_j0�)L state:N—:�Zip:
State Certification/Registration#:2c Vztlwi-i I
License Holdeir:5—QtrA -Vr�
Notarized Signature of License Holder
T y of
he foregoing instrument was acknowledged before me this cla�VV�20a in the State of Florida, County of
4P Notary Public State of FigrIde Signature of Notary Public
�YVP ON Angel N Brooks
My Commission GG 208014 Personally Known OR Produced Identification
Expires 10/1712022 14le of Identification:
Receipt Number
Cash Register Receipt
City of Atlantic Beach R9748
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
ERES19-0228 Address: 1707 BEACH AVE APN: 169660 0000 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0� 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R9748 $94.00
Date Paid: Thursday, August 01, 2019
Paid By: AMERICAN ELECTRICAL CONTRACTING, INC.
Cashier: CT
Pay Method: CREDIT CARD 491830
Printed:Thursday,August 01,2019 9:22 AM 1 of 1