1871 Atlantic Beach Dr ERES19-0290 Generator ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0290
4 S�.r'. f
- ISSUED: 10/10/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 4/7/2020
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:
1871 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL 22 KW GENERATOR W/ 200 $2400.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
COMPANY: ADDRESS: CITY: STATE: ZIP:
AMERICAN ELECTRICAL 5065 ST AUGUSTINE RD #13 JACKSONVILLE FL 32207
CONTRACTING, INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
TUBBS ROBERT J 1871 ATLANTIC BEACH DR 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
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000 322-1000 0 $0.00
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 $2.00
Issued Date: 10/10/2019 1 of 2
_ Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
:,,.::1, ' City of Atlantic Beach Building Department GRAY IS REQUIRED.
A
800 Seminole Rd, Atlantic Beach, FL 32233 r-- R ES (9 - OZC,
1TY'
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS:ni t �4kCkM1C ' C - 'DP— PROJECT VALUE$' 900.00
JEA INFORMATION REQUIRED ON ALL PERMITS:LOO AMPS .:NO VOLTS PHASE
11 NEW SERVICE: D Overhead DUnderground ❑Underground up Pole
pResidential(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main) Service:
BJ-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
Q TEMPORARY POLE:_ amps
Eil SERVICE UPGRADE: 0 amps DCT Service amps
I , NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
1
0100 amps 0150amps ❑200amps 0 _ amps DT Service amps
Li 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:
H OTHER ELECTRICAL PROJECTS:
['Swimming Pool['Sign ❑Smoke Detectors (Qty) QTransformers KVA [Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
KJ REPAIRS/MISCELLANEOUS:
'"'
['Replace Burnt/Damaged Meter Can OSafety Inspection ❑Panel Change ❑OH to UG
`)they: vi k0,,\\ Q��w f�P,neco,4ta(L w f aboc,., pci 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.
Owner Name: ( Tubbs- Phone Number:i QO3— 5—g53I
Electrical Company. OP.(1 Ct1y' eIQ e,jG}1- Office Phone: :101-i `lam -1'11 O Fax:
Co.Address:606573 _ \S_ ' ws-kf'�P, 1Q-,p , City:1,140. tywt Ice State:FI-- Zip:(�ol og�
License Holder:i Gt Y' C‘e-- State Certification/Registration#:�e.-C..1,300—.)31i
Notarized Signature of License Holder, �r—*414r/1:4'. 7,.."1440."( - . .
The foregoing instrument was ack wledged before me this') day QC,I'. ,2019 , in h State of Florida, County of to.o.`
ifer NN., Notary puWm St�to 01 Elands Signature of Notary Public
w� prtgel N 6ro0KY ^,
My Commission i0/ 711 00 2edet4 C }fPersonally Known OR[ ]Produced Identification
Expire*t01t7r7072
n of Irlonti(iratinn•
Cash Register Receipt Receipt Number
` _ City of Atlantic Beach R10708
IIII
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $376.00
ERES19-0290 Address: 1871 ATLANTIC BEACH DR APN: $94.00
ELECTRICAL
$90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ERES19-0291 Address: 1855 ATLANTIC BEACH DR APN: $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ERES19-0298 Address: 1859 ATLANTIC BEACH DR APN: 169505 1550 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ERES19-0299 Address: 1654 ATLANTIC BEACH DR APN: 169505 2050 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R10708 $376.00
Date Paid: Thursday, October 10, 2019
Paid By: AMERICAN ELECTRICAL CONTRACTING, INC.
Cashier: CT
Pay Method: CREDIT CARD 9
Printed:Thursday,October 10,2019 12:50 PM 1 of 1