740 Selva Lakes Cir ERES19-0247 Elec Remodel ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r CITY OF ATLANTIC BEACH ERES19-0247
. 800 SEMINOLE ROAD ISSUED: 8/22/2019
Eiji EXPIRES: 2/18/2020
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • ' CONFORM • THE CURRENT 6TH EDITION1 OF • ' ! BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODEOF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, !
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:
740 SELVA LAKES CIR ELECTRICAL RESIDENTIAL ELECTRIC REMODEL- 11 $500.00
FIXTURES
TYPE OF BUILDING
• • GROUP:
172027 5852 SELVA LAKES UNIT 03
COMPANY: ADDRESS:
RIVER CITY ELECTRIC
CONTRACTORS, INC. 12496 Gately Oaks Ln JACKSONVILLE FL 32225
• �® ADDRESS:
SWAN NADINE C 740 SELVA LAKES CIR ATLANTIC BEACH FL 32233-4368
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 11 $6.60
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: $65.60
Issued Date: 8/22/2019 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 t\p cs l
Ph(904)247-5826 Fax (904) 247-5845 �( -o ZL�-7
JOB ADDRESS: 7YO �� vet L, kc U/'C It— —PERMIT# tcf-003
JEA INFORMATION REQUIRED ON ALL PERMITS vO AMPS Z 0 VOLTS PHASE
VALUE OF WORK$ W,00
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 77 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 VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
❑Other:
?ennit 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
•ead 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
;pecified 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
;onstruction.
'roperty Owners Name A 1 10 E S Phone Number
s'lectrical Comp�any� MSRCU)n,ems � • �k-. Office Phone �� "J�� Fax
;o.Address:47?& City Q"s' StateVK_, Zip__!��_73
➢cense Holder(Print): State Certification/Registration# s�
Totarized Signature of"e Holder
KITTY COOKjFlofidaore me this�'�--day of 20,—
Yp�i
Notary Public-State of i
y I Commission # FF 92nature of Notary Pu
ems? My Comm.Expires Jan 1#g1 Cd r' BondrdthroughNabona No