185 8th St ERES19-0280 New Underground Service „,,i':-V ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r e,� , ERES19-0280
•7:11„.,; CITY OF ATLANTIC BEACH ISSUED: 9/26/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233
EXPIRES: 3/24/2020
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:
185 8TH ST ELECTRICAL RESIDENTIAL NEW UNDERGROUND $1500.00
SERVICE AND METER
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170325 0000 CLUB MANOR
COMPANY: ADDRESS: CITY: STATE: ZIP:
Service of Knights LLC 415 N 4th Avenue Jacksonville Beach FL 32250
OWNER: ADDRESS: CITY: STATE: ZIP:
ROOD CHRISTOPHER J 185 8TH ST ATLANTIC 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
IRoll off container company must be on City approved list . Container cannot be placed on City right-of-way.
I
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: $94.00
Issued Date: 9/26/2019 1 of 2
Electrical Permit Application **ALL INFORMATIONHIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 R CS l9_-OZSD
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: /45 PROJECT VALUE $ / UO
JEA INFORMATION REQUIRED ON ALL PERMITS: 7-eri AMPS 7`1,0 VOLTS 2.- PHASE
[] NEW SERVICE: ❑ Overhead Underground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps D101-150amps X151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps u101-150amps o151-200amps ❑ amps DCT Service amps
Conductor Type Size
Multi-Family(Main)Service:
❑0-100 amps D101-150amps o151-200amps ❑ amps # of Unit Meters
TEMPORARY POLE: amps
L SERVICE UPGRADE: ; amps DCT Service amps
P1 NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps 150amps 200amps amps DCT Service amps
P1 ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30a mps 31-100a m ps 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:
uSwimming Pool uSign uSmoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
I FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
I REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change yOH to UG Updated 10/17/18
❑Other:
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: C API iwi/��f ((OA)c
Phone Number: � r.r4 -3 5--93
4 Electrical Company: ‘r0.'cc /`l t-c Office Phone: Fax:
Co.Address: q(1 c.//-, t �� City: //?'l( 44e/i State: /T C Zip: 32? y
License Holder: / C 7(' _% .te Certification/Registration#: E /3o/- 2 9
Notarized Signature of License Holder ( ' ill
7-lir
The foregoing instrument was ackno A-dg:k. ••fore a this ay •, , I in th• S/:te ooforida,County of
-- Signature of Notary Public 9-- �_
a� % I� �IGlNDLESPERGER
,1-_% '7:;' MY C3 M'.SSIGN#FF 924951
: �.i-1 EXPIRES:October 6,2019 A Personally Known OR [ 1 Produced Identification
`%.;............. Borc dThruNotaryPublicUnderwriters Type of Identification: