1969 Brista De Mar Cir ERES19-0251 Elec Remodel ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0251
V� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 8/27/2019
EXPIRES: 2/23/2020
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE914PM FORDAY • •
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' i • BUILDING
CODE, NEC, IPMC, • i CITY OF BEACH CODEOF 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 OF WORK:
1969 BRISTA DE MAR CIR ELECTRICAL RESIDENTIAL ELECTRIC REMODEL - 12 $1600.00
FIXTURES
TYPE OF •
ZONING: : • •
• • GROUP:
169506 1670 SELVA NORTE UNIT 02
COMPANY: ADDRESS:
DUTCHER ELECTRIC INC 1122 NORTH 3RD AVE JACKSONVILLE FL 32250
BEACH
• ADDRESS:
KANE PHILIP B 1969 BRISTA DE MAR CIR ATLANTIC BEACH FL 32233-4525
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 . . •
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 APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 45S-0000-322-1000 10 $6.00
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
Issued Date:8/27/2019 1 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
Phone: (904)?247-5826 Email: Building-Dept@coab.us PERMIT#: (DDO
JOB ADDRESS:4/(7
f�E-�il1i?,r/L C i PROJECT VALUE $
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE
❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential (Main) Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: amps DCT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑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 ❑Panel Change ❑OH to UG
Updated 10/17118❑Other:
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. QE1 i`J'^ I ) J
Owner Name: i// ("'` 1 u p Phone Number:
Electrical Company: ,i� �r/Gt F t' 171-Pc r•'L Office Phone: ��/ �dn Fax:
Co.Address: Z �. r�J dt . City:jj/ )4' State:__/a Zip:
License Holder: ate rtification/Registration#:
Notarized Signature of License Holder
The foregoing instrumen ledged before me thisa�gfallo insthe S to f Florida,County of
4
TONI GIWLESPERGER
COdMISS1ON#FF 924951
MY Signature of Notary Public
1 = [� October 6,2019
.'* EXPIRES:
�".z• s
PublicUnder+dters ersonally Known OR[ ] Produced Identification
`�o B,,d,dlh:uA•otary Type of Identification:
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