85 Nicole Ln ERES1909259 Remodel ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0259
V� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 9/12/2019
" ru, 19r ATLANTIC BEACH. FL 32233 EXPIRES: 3/10/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • '
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF 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:
85 NICOLE LN ELECTRICAL RESIDENTIAL REMODEL- 6 OUTLETS $500.00
TYPE OF
• • GROUP:
169519 0830 TIFFANY BY THE SEA
COMPANY:
APPLE ELECTRIC, INC 2001 3RD ST NEPTUNE BEACH FL 32266
• ADDRESS: CITY: STATE
BEIER ALEXANDRA DAROS 85 NICOLE LN ATLANTIC BEACH FL 32233-5979
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 6 $3.60
ELECTRICAL BASE FEE 45S-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: $62.60
Issued Date: 9/12/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0259
v
800 SEMINOLE ROAD ISSUED: 9/12/2019
vJfiS�' ATLANTIC BEACH. FL 32233 EXPIRES: 3/10/2020 i
Issued Date: 9/12/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
/ \ ' HIGHLIGHTED IN
�J City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: :_=uilding-Dept@coab.us PERMIT#: G_� Re n-ozsc
JOB ADDRESS: `CJS /�� I (' �- PROJECT VALUE $ 0 0
JEA INFORMATION REQUIRED ON ALL PERMITS-2,60 AMP OLTS PHASE
❑ NEW SERVICE: [3 Overhead ❑Underground []Underground up Pole
pResidential (Main)Service:
❑0-100 amps E1101-150amps [1151-200amps 17--amps #of Meters
Commercial (Main)Service:
00-100 amps 11101-150amps 11151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps [3101-150amps E]151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
[]100amps 0150amps ❑200amps ❑__amps IST Service amps
D ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: __5 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: Ce
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
tether: 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.
Owner Name: /� _ Phone Number:
Electrical Company: 1—ole �VeC-1A - C L L C Office Phone: _ G0`
�-3�`��y' 7 s Fax:
Co. Address: 7 00 / 3r(y S4- City:-Ak �r L- StateFC Zip3�Cac
�� S7 -r
License Holder: L45 State Certification/Registration#:
Notarized Signature of License Holder C
The foregoing instrument was acknowledged before me thisl day of J�-U'l 2d1� in the State of Florida,County of I U
PW"ONNotary Public Stats of Florida Signature of Notary Public Ql'f
Beverly K Elias
My Commission GG 315108 �rsonally Known OR[ j Produced Identification
�a w Expires 0411 2/2 0 2 3
Type of Identification: