1887 Beachside Ct ERES19-0276 A/C Reconnect ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
' ERES19-0276
CITY OF ATLANTIC BEACH
~) 800 SEMINOLE ROAD ISSUED: 9/25/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/23/2020
MUST CALL INSPECTION • • • PM FORINSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' DA 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.
• : r • • OF • •
1887 BEACHSIDE CT ELECTRICAL RESIDENTIAL A/C RECONNECT $325.00
TYPE OF
i • GROUP:
169542 0568 BEACHSIDE
�iilii/ii�iO11■ CITY: STATE:
ADDRESS:
ADKINS ELECTRIC INC. 10477 NEW KINGS RD JACKSONVILLE FL 32219
• ADDRESS:
BENNETT DAVID C 1887 BEACHSIDE CT ATLANTIC BEACH FL 32233-5954
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 AIR CONDITIONING CIRCUITS 4S5-0000-322-1000 0 $S.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
TOTAL: $64.00
Issued Date: 9/25/2019 1 of 2
f Cash Receipt
City ofAtlanticBeach R1045•
DESCRIPTION • •
PermitTRAK $64.00
ERES19-0276 Address: 1887 BEACHSIDE CT APN: 169542 0568 $64.00
ELECTRICAL $60.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL1 , $64.00
Date Paid: Wednesday, September 25, 2019
Paid By: ADKINS ELECTRIC INC.
Cashier: CB
Pay Method: CREDIT CARD 1
/1�
Printed:Wednesday,September 25,2019 9:02 AM 1 of 1 c
Electrical Permit Application "ALL INFORMATION
t`'''',• HIGHLIGHTED IN
{ City of Atlantic Beach Building Department GRAY IS REQUIRED.
%I 800 Seminole Rd, Atlantic Beach, FL 32233
RC
Phone: (904) 247-5826 Email: Building-Dept@ oab.us PERMIT#:
JOB ADDRESS: S,/ 7 g e % S--dr. C f-, PROJECT VALUE$ 3�5• "'
JEA INFORMATION REQUIRED ON ALL PERMITS:_;Q0 AMPS,26 /U VOLTS�_PHASE
❑ NEW SERVICE: 0Overhead r3Underground OUnderground up Pole
Mesidential(Main)Service:
❑0-100 amps [3101-150amps 0151-200amps []_amps #of Meters
Ocommercial(Main)Service:
❑0-100 amps E3101-150amps 11151-200amps El—amps E3CT Service amps
Conductor Type Size
13Multi-Family(Main)Service:
❑0-100 amps 0101-150amps []151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE:
SERVICE UPGRADE: []_amps ❑CT Service amps
S
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
r]100amps ❑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
R REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change []OH to UG
❑3ther: A(- Re Gunn•�cr Updated 10/17119
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. � Q
Owner Name: tJwV f '/� D2nPf�td- Phone Number:
Electrical Company:"K:n 5 /eC fiP iceOffice Phone: 2QL-1' 707- 4/g.-j- Fax:
Co.Address:10407 2r.✓ k�nT �� City:age kS uAy. llt State: F1 jZip:
�r _^ to Certification/Registration#:
License Holder:Jjr�� �� S
Notarized Signature of License Holder `/ (
dged before me this aAday of `ZD l in the State of F orida,County of __6 6j
—
My COMMISSION#GG 164756
Signa re of Notary Public
Q EAPIRES:Decembe(18,2021
J P.
:Fgfy�° gpndedThruNolaryPubllcUndervrtiters [ ersonally Known OR[ )Produced Identification
Type of Identification:_.._...._....__