1102 Stocks St ERES19-0274 New Service C ELECTRICAL RESIDENTIAL PERMITPERMIT NUMBER
CITY OF ATLANTIC BEACHERES19-0274
-" ISSUED: 9/24/2019
800 SEMINOLE ROAD
9%- ATLANTIC BEACH, FL 32233 EXPIRES: 3/22/2020
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:
200 amps/240 volts/first
1102 Stocks St. ELECTRICAL RESIDENTIAL phase - new underground $5000.00
service
TYPE OF 1 REAL ESTATE BUILDING USE
ZONING: I SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
COMPANY: ADDRESS: CITY: j STATE: ZIP:
ELITE ELECTRICAL 11611 CAPE HORN AVE JACKSONVILLE FL 32246
SERVICES LLC
OWNER: ADDRESS: CITY: STATE: ZIP:
ASM Riverside Holdings 2000 Florida Blvd Neptune Beach FL 32233
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.
1 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
I
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
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: 9/24/2019 1 of 2
Electrical Permit Application **ALL INFORMATION
--
HIGHLIGHTED IN
Application
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 LLCC
Phone: (904))2247-5826 Email: Building-Dept@coab.us PERMIT CIDDc-C-'( `p
-bD
JOB ADDRESS: //(/( % /�G'(S �‘----"-- PROJECT VALUE $ S5 lcU c5-0
/
JEA INFORMATION REQUIRED ON ALL PERMITS:�AMPS��� VOLTS ( PHASE
iJ NEW SERVICE: ❑ Overhead underground ❑Underground up Pole
Residential (Main)Service: /'
u0-100 amps u101-150amps X51-200amps ❑ amps #of Meters
uCommercial (Main)Service: / `
❑0-100 amps D101-150amps D151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
Multi-Family(Main) Service:
❑O-100 amps u101-150amps u151-200amps [ i amps # of Unit Meters
TEMPORARY POLE: amps
-_J SERVICE UPGRADE: amps ICT Service amps
L_J NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps 150amps 200amps r amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200a mps
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:
1 1Swimming Pool Sign 'Smoke Detectors (Qty) ❑Transformers KVA El Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt Damag d Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Other: 'j� 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 vi late the provi
of any other state or local law regulation construction or the performance of
construction. icG�/��///;
Owner Name: f 6/it"'(((C Phone Number:
Electrical Y�,
Com an •717 / t 91 Office Phone: 9/ 3 .ie Fax:
P � //.
/' '1) City: `/ State/2 Zip: �J
Co.Address: �j��//J C �G�� 1 ' t" � y� ��� 11
License Holder: �i�/•('C - -tri
1<av to - Cep ification/Registration#: ,�V 4, /(1
Notarized Signature of License Holder .- jjM ��J _/
bra fr,reanitginstrument was acknowledged before me this a day of ' V._011431—(20 lin the State of Florida,County of v..)'•'c''lt
4.1‘.':':,. ...tains JENNIFER JOHNSTON Signature of Notary Public It, Pi 'd ------
.*;
Nig .*: MY COMMISSION#GG 042984 I lip
;,.1,.P; EXPIRES:October 27,2020 [ ] Personally Known OR [ roduF d Idents ication � c
oq,;4• Bonded Thru Notary Public Underwriters 1 0(��(,‘ i .(1 J t ( k l L- 4,
Type of Identification: F