2400 Seminole Rd ERES19-0272 For Addition ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
' ERES19-0272
v� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 9/23/2019
� U109 ATLANTIC BEACH. FL 32233 EXPIRES: 3/21/2020
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 • ' ! + BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC + CH CODE OF ORDINANCES .
ALL • ! i OF PERMIT APPLY, PLEASE READ
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.
- • : err • ► r • OF • •
2400 SEMINOLE RD ELECTRICAL RESIDENTIAL ELECTRIC FOR ADDITION $2500.00
TYPE OF r
ZONING: : r •
i • GROUP:
168354 0000 SECTION LAND
• ADDRESS: CITY: STATE: mi
MILLENNIUM ELECTRICAL 6661 SOUTHPOINT PARKWAY JACKSONVILLE FL 32216
CONTRACTORS LLC
• ADDRESS: CITY: STAT E: ZIP:
GATSBY LAND TRUST 839 PONTE VEDRA BLVD PONTE VEDRA FL 32082
BEACH
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 • r •
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 REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $SS.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date: 9/23/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
4•r �,
r CITY OF ATLANTIC BEACH ERES19-0272
ISSUED: 9/23/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 3/21/2020
Issued Date: 9/23/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
J$ ` City of Atlantic Beach Building Department GRAY IS REQUIRED.
'i
800 Seminole Rd, Atlantic Beach, FL 32233
ERS S
l9 -DZ7Z
Phone: (904) 247-5826 Emai
l: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 2400 Seminole Road 14062' PROJECT VALUE $$2,500.00
JEA INFORMATION REQUIRED ON ALL PERMITS: �eOy AMPS�WLTS _�;HASE
❑ NEW SERVICE: [3 Overhead DUnderground ❑Underground up Pole
011esidential (Main)Service:
❑0-100 amps [3101-150amps 0151-200amps damps #of Meters
❑Commercial (Main)Service:
❑0-100 amps [3101-1SOamps 11151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
ElMulti-Family(Main)Service:
❑0-100 amps [3101-150amps [1151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps OCTService amps
❑'� ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 50 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: 25
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
[:]ether:
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: Gatsby Land Trust Phone Number: 219-5003
Electrical Company: Millennium Electrical Office Phone: 219-5003 Fax:
Co.Address: 3948 3rd Street South City: Jax Beach State: FI Zip: 32250
License Holder: Millennium Electrical Cont LL S ate Certific /R istration#: EC13001449
Notarized Signature of License Holder Z_ l
The foregoing instrument was acknowledged before me thisZ`e—day Lu, ' e State of Florida,County of
Notary Public g ublic Signature oy
k Si tf Notary Publi
&ate of Florida
WCemmissionExpires 0l/01/M [ ] Personally Known OR re]duced Identification
Commission No.GG 287454 [
Type of Identification: --1Y