1186 Stocks St ERES19-0273 New Service ,,:o •v:if, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r � , ERES19-0273
v� CITY OF ATLANTIC BEACH ISSUED: 9/24/2019
800 SEMINOLE ROAD
l'''._) ' 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: 1 DESCRIPTION: VALUE OF WORK:
200 amps/240 volts/first
1186 Stocks St. ELECTRICAL RESIDENTIAL phase - new underground $5000.00
service
TYPE OF REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION:
NUMBER: GROUP:
COMPANY: I ADDRESS: CITY: STATE: ZIP:
ELITE ELECTRICAL
SERVICES LLC 11611 CAPE HORN AVE JACKSONVILLE FL 32246
jOWNER: ADDRESS: 1 CITY: d 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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
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
,tl�:L� Electrical Permit Application
**ALL INFORMATION
HIGHLIGHTED IN
GRAY City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
geslq -Oa1-
Phone: (904) 247-58260,,,( -/,-,
Email: Building-Dept@coab.us PERMIT .3
JOB ADDRESS: / ) Y? � PROJECT VALUE $ c(Oo0
JEA INFORMATION REQUIRED ON ALL PERMITS: 212 AMPS OLTS 2 PHASE
NEW SERVICE: ❑ Overheadllnderground ❑Underground up Pole
❑Residential (Main)Service:
DO-100 amps ❑101 150amps ,51-2OOamps ❑ amps #of Meters
❑Commercial (Main)Service: /
❑O-100 amps ❑101-15Oamps ❑151-200amps ❑ amps ECT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑O-100 amps ❑101-15Oamps ❑151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps DICT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑2OOamps ❑ amps ❑CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-3Oamps 31-10Oamps 101-2O0amps
Appliances: 0-3Oamps 31-1OOamps 101-2OOamps
A/C Circuits: 0-6Oamps 61-1O0amps
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/ a�� Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
l'
❑Other: 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 p rmit do s no ive authority o viol h revisions of any other state or local law regulation construction or the performance of
construction. . /y `��/ `�� r .�
Owner Name: ��"l f Z./ I/t Phone Numb r:
Electrical Compan : L " /7 ��t/ Office Phone: L�C� 6/ Fax:
Co.Address: � �� /17- City: ( Sta e: Zip:
License Holder: <�( � G `'' C . i State Certification/Registration#:
Notarized Signature of License Holder fir ��'
The foregoing instrument was acknowledged before me this }Li d. of S{r k 1-04(20 Vk,in the State of Florida, County of bt4LJ'
,•;p,'P''' JENNIFERJOHNSTON Signature of Notary Public l ���
z• is,5. MY COMMISSION#GG 042984 I i
'- r*' EXPIRES:October27,2020 [ ] Personally Known OR [ ro uced Identification
�%,' ,,4"t Bonded Ttw Notary Public Underwriters Typepe of Identification: F� tw Jyc3L t en S'�
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