1735 Maritime Oak Dr ERES19-0241 New Service ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0241
�r 800 SEMINOLE ROAD ISSUED: 8/16/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 2/12/2020
MUST CALL INSPECTION PHONE • FOR • i
ALL i ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • '
CODE, OF • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE .
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:
1735 MARITIME OAK DR ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE 400 $4200.00
AMPS
TYPE OF ` `
CONSTRUCTION: GROUP:
169505 1785 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
, M
TRI COUNTY ELECTRICAL 11637 E COLUMBIA PRK DR JACKSONVILLE FL 32258
• ADDRESS:
RUNQUIST ERIC WILLIAM 9 WELTJE RD LONDON W6 9TG
UNITED KINGDOM
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
_J
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 400 $110.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.48
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 8/16/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
_. CITY OF ATLANTIC BEACH ERES19-0241
800 SEMINOLE ROAD ISSUED: 8/16/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 2/12/2020
TOTAL:$169.48
Issued Date: 8/16/2019 2 of 2
e Plsi9 - OX41
Electrical Permit Application "ALL INFORMATION
!`"'`''.'�,• �� HIGHLIGHTED IN
- City of Atlantic Beach Building Department �strr�
j-01
800 Seminole Rd, Atlantic Beach, FL 32233 �)� —004 ul
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: r] 3 5 Met,-, -k m { PROJECT VALUE $
.IEA INFORMATION REQUIRED ON ALL PERMITS: `KCAIVIPS2U VOLTS PHASE
/P(NEW SERVICE: ❑Overhead ❑Underground []Underground up Pole
gResidential(Main)Service:
❑0-100 amps E1101-150amps [1151-200amps l�. yor7 amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps 0101-150amps 1771151-200amps Ci—amps []CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps 171101-150amps [1151-200amps ❑ amps #of Unit Meters_
❑TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100amps ❑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 [:]PanelChange ❑OH to UG
Updated I0/17/18
ather:
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:R r 4 Q'I h: �"1 11A- Phone Number: S03—?05Y
Electrical Company: TRI COUNTY ELECTRICAL CONT. INC. Office Phone:260.9669 Fax:260.9688
Co.Address: 11637 E. COLUMBIA PARK DRIVE ; city: JACKSONVILLE State: FL Zip: 32258 _
License Holder: Kevin L. Weir ZZ
/ �t 'Cel ification/Registration#: EC13005421
Notarized Signature of License Holder c'.�/�✓
The foregoing instrument was acknowledged before me this 3 day of 20j, in the State of Florida,County of 1344
P
♦•`pY P'� TAMMY PALL Signature of Notary Public---
'» Notary Public-State of Florida �(
Commission#FF 995425 t/ 1ersonally Known OR[ ]Produced Identification
My Comm.Expires Jul 6,2020 ype of Identification:
—
�'O F WOF
"' Bonded through Nalional Notary Assn.
i
1 Cash
Register Receipt
, • , Number
City ofAtlanticBeach • • •
�Ji3 �r
DESCRIPTION
•
PermitTRAK $169.48
ERES19-0241 Address: 1735 MARITIME OAK DR APN: 169505 1785 $169.48
ELECTRICAL $165.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 400 $110.00
STATE SURCHARGES $4.48
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.48
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: • . 169.48
Date Paid: Friday, August 16, 2019
Paid By: TRI COUNTY ELECTRICAL
Cashier: CB
Pay Method: CREDIT CARD 3
Printed: Friday,August 16, 2019 11:13 AM 1 of 1