345 5th St ERES19-0234 Meter Can Replacement ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH
ERES19-0234
800 SEMINOLE ROAD
ISSUED: 8/5/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 2/1/2020
MUST CALL INSPECTION • • (904)S47-5814 BY 4 • FOR
NEXT , + INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' + 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:
345 5TH ST ELECTRICAL RESIDENTIAL METER CAN REPLACE $1800.00
TYPE OF
• • GROUP:
169865 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
MCCLURE ELECTRICAL 537 N 5TH AVE JACKSONVILLE FL 32250
CONTRACTORS BEACH
• ADDRESS:
GOODLING DONALD L 345 - 5TH ST ATLANTIC BEACH FL 32233-5345
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 455-0000-322-1000 0 $35.00
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: $94.00
Issued Date: 8/5/2019 1 of 2
"ALL INFORMATION
Electrical Permit Application
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233Iq 0Z17
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
1 1
JOB ADDRESS: '+ S S -I to PROJECT VALUE $ / 43co0 • a�
JEA INFORMATION REQUIRED ON ALL PERMITS: vo AMPS 2So VOLTS I PHASE
❑ NEW SERVICE: ❑ Overhead ❑Underground Li Underground up Pole
i Residential (Main)Service:
0-100 amps 1101-150amps o151-200amps ❑ amps #of Meters
:Commercial (Main) Service:
110-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
i iMulti-Family(Main)Service:
❑0-100 amps ❑101-150amps o151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: amps iCT Service_ amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
r-100 amps ❑150amps ❑200amps i i_ 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:
i iSwimming Pool ❑Sign i iSmoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REP.41RS/MISCELLANEOUS:
eplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: 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. l
Owner Name: c"ti1 C-rA-. CY, \ h Phone Number: 't o`k 2 `l6 2 `l Z"7
Electrical Company: Y'1 CL,—v a e xs C_ r► 1 Office Phone: Fax:
Co.Address: k S 2_l 't r.v C__< a e-v City: f G- N_jA _j 0, State: FL Zip: 32-14r
License Holder: 19. iMM c L_L' ,L.a -91 State Cer ' ' Registration#: E R o
Notarized Signature of License Holder
The foregoing instrument was acknowledged re me this day of 0 �in the S at of Florida, County of
nature of Notary Publi
I?:SNI NuDLESPERGER
diYGoMMISSION#FF924951 ersonall Known OR Produced Identification
EXPIRES:October 6,2019 Y
.•ondedThruNotery�ublicUndew ters pe of Identification: