1607 Atlantic Beach Dr ERES19-0253 Summer Kitchen '''''% ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0253
CITY OF ATLANTIC BEACH
�~ ISSUED: 9/5/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 3/3/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 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:
1607 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL SUMMER KITCHEN - 4 $500.00
OUTLETS
TYPE OF +
ZONING: : . •
• • GROUP:
169505 1065 ATLANTIC BEACH
COUNTRY CLUB UNIT 01
COMPANY: ADDRESS:
DEPENDENT ELECTRIC INC 8651 Feldman Rd JACKSONVILLE FL 32244
• ADDRESS:
TOLL FL VI LIMITED 250 GIBRALTAR RD HORSHAM PA 19044
PARTNERSHIP
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 45S-0000-322-1000 4 $2.40
ELECTRICAL BASE FEE 4S5-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-06000 $2.00
Issued Date: 9/5/2019 1 of 2
fyL''fELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
3
CITY OF ATLANTIC BEACH
ERES19-0253
s
ISSUED: 9/5/2019
800 SEMINOLE ROAD EXPIRES: 3/3/2020
ATLANTIC BEACH. FL 32233
TOTAL: $61.40
Issued Date: 9/5/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
Mp 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#: G
JOB ADDRESS: 1607 Atlantic Beach Dr, Atlantic Beach, FL 32233 PROJECT VALUE$$500.00 O aSs
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 120 VOLTS 1 PHASE
❑ NEW SERVICE: 1:1 Overhead ❑Underground ❑Underground up Pole
oResidential (Main)Service:
E30-100amps 0101-150amps [1151-200amps ❑ amps #of Meters
❑Commercial (Main) Service:
❑0-100 amps E3101-150amps 11151-200amps ❑ amps MCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑0-100 amps E1101-150amps [1151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
0 SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps [:ICT Service amps
❑✓ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 4 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-1.00amps
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 10/17/18
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: Morgan King Phone Number:
Electrical Company: Dependent Electric,Inc Office Phone: (904)999-6608 Fax:
CO.Address: 8651 Feldman Rd City: Jacksonville State: FL Zip: 32244
License Holder: Bryan S Cameron State Certification/Registration#: ER13014814
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this Jday'of 20f, in the State of Florida, County of 1�y
ignature of Notary Publi /
ate of Florida
we Personally Known OR[ J Produ ed Identification
REE
Gc 168,39 ype of Identification:021
C
Cash
Register Receipt Receipt
� r
BeachCity of Atlantic R10062
DESCRIPTION ACCOUNT • PAID
PermitTRAK $61.40
ERES19-0253 Address: 1607 ATLANTIC BEACH DR APN: 169505 1065 $61.40
ELECTRICAL $57.40
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 4 $2.40
FIXTURES
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTALR10062 1
Date Paid: Thursday, September 05, 2019
Paid By: DEPENDENT ELECTRIC INC
Cashier: CB
Pay Method: CREDIT CARD 1
/ .
Printed:Thursday,September 05, 2019 9:47 AM 1 of 1