149 Magnolia St ERES19-0292 Panel Change rr ..,tvif%, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH
ERES19-0292
r"� `' �~ 800 SEMINOLE ROAD ISSUED: 10/8/2019
0111`9,- ATLANTIC BEACH. FL 32233 EXPIRES: 4/5/2020
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:
149 MAGNOLIA ST ELECTRICAL RESIDENTIAL ELECTRIC PANEL CHANGE $1000.00
TYPE OF I REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: ' NUMBER: GROUP:
170626 0020 SALTAIR SEC 03
COMPANY: ADDRESS: CITY: STATE: ZIP:
COWAN ELECTRICAL
OWNER: ADDRESS: CITY: STATE: I ZIP:.
MADDEN JENNIFER M 149 MAGNOLIA 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
4;.
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 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2 00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date: 10/8/2019 1 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 R(�S( 9 .- OZ 9-4-
7/ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: /L/q Mal jtna`/q c$ PROJECT VALUE $ /OHO uv
IEA INFORMATION REQUIRED ON ALL PERMITS: IS-) AMPS 210 VOLTS / PHASE
❑ NEW SERVICE: 0 Overhead ❑Underground ❑Underground up Pole
OResidential (Main)Service:
00-100 amps Q101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
❑'J-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
E SERVICE UPGRADE: ❑ amps OCT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps ❑ amps OCT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200am ps
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
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
El REPAIRS/MISCELLANEOUS: .
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection aanel Change DOH to UG
❑Jther: 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 violate the provisions of any other state or local law regulation construction or the performance of
construction. R04 —23-4— [l (. O
Owner Name: _ _Siietr‘ je 1h fp(tr r144-4//14-/r144-4//14-/,,,r144-4//14-/ Phone Number: `�
Electrical Company: Co * -All i-eG4r rr'C 61_1-490"t Kf Office Phone: /d f- go 3 -(6 32 Fax:
Co.Address: 213r /ei s /01 PD City: Jac%roto,/fie State: FL Zip: 3-2.2-07
License Holder: i A ,._ State Certification/Registration#: /.'O d 7 a 0
Notarized Signature of License Holder
The foregoing instrument was acknow' .:ed before me this CD day • i� I �� in th Statof Florida, County of
•��'•"•�"�:'•• TONT GINDLESP�Gd2 ignature of Notary Public � �_ � ,L �
my COMMISSION#GG 353178
='; [ ] Personally Known OR [ ] Produced Identification
:?„,,,,,..,.;.; EXPIRES:October 6,2023 3
:',o:aed TlruNotaryp„p Type of Identification: L—_ c —4 7 S —80— ( 2 — CD