1875 Beach Ave ERES19-0300 rt' fir ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
• CITY OF ATLANTIC BEACH ERES19-0300
800 SEMINOLE ROAD ISSUED: 10/10/2019
'�!:);319%- 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:
1875 BEACH AVE ELECTRICAL RESIDENTIAL REMOVE CT's BRING UP TO $1500.00
CODE
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169681 0000 NORTH ATLANTIC BCH
UNIT
COMPANY: ADDRESS: CITY: STATE: ZIP:
MICHAEL K LEGGETT INC 11624 FT CAROLINE LAKES DR JACKSONVILLE FL 32225
OWNER: ADDRESS: CITY: STATE: ZIP:
NOTTMEIER ERIC 2055 BEACH AVE 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 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: 10/10/2019 1 of 2
. ,,lf Electrical Permit Application **ALL INFORMATION
J, HIGHLIGHTED IN
°' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
1 •
R E t ° _03 00
"�� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1
JOB ADDRESS: 1875 Beach Ave PROJECT VALUE$$ 1,500.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 300 AMPS 240 VOLTS 3 PHASE
❑ NEW SERVICE: ❑Overhead ❑Underground ❑Underground up Pole
(Residential(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service:
00-100 amps 0101-150amps 0151-200amps Q amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
E TEMPORARY POLE: amps
SERVICE UPGRADE: El amps DCT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps ❑200amps ❑ amps OCT Service amps
U 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:
OTHER ELECTRICAL PROJECTS:
['Swimming Pool['Sign DSmoke Detectors (Qty) Dfransformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
14/1 REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ['Safety Inspection panel Change DOH to UG
Opther:Removing CTs, bringing service up to current code 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: Tracy Synan ✓ Phone N4ml#er: (904)233-1346
Electrical Company: Michael Leggett Inc Office Phone:(904)94&-sem I Fax:
Co.Address: 11624 Ft Caroline Lakes Drive City: Jacksonville i State: FL Zip: 32246
License Holder: Paul Keane State Certification/Registration#: EC13007221
Notarized Signature of License Holder /t„! A,...--- I
10,----4•0*
A-'--
" "" ed before me this 10 day of OCtobe/ ,20 19, in the State of Florida,County of 0140 ci
1 ,. liOCKELLE KUPState oEIN I Cu
1 NOgry PuEllt-Sats of ftodda (Signature of Notary Public i c., �.P L h
' vs Comntltsfon I AO 003005
,,,+.—.", My Comm.Expires Jun 27,2020 [rf Personally Known OR[ I Produced Identification i
1 ".8r.Ai r Bonded inroupl+National Notary Assn. Type of Identification:
,,i 'ifl+�
Cash Register Receipt Receipt Number
~ City of Atlantic Beach R10719
Az ii9%'
DESCRIPTION ACCOUNT I QTY PAID
PermitTRAK $94.00
ERES19-0300 Address: 1875 BEACH AVE APN: 169681 0000 $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: R10719 $94.00
Date Paid: Thursday, October 10, 2019
Paid By: MICHAEL K LEGGETT INC
Cashier: CT
Pay Method: CREDIT CARD 010318
Printed:Thursday,October 10,2019 4:54 PM 1 of 1