1212 Jasmine St ERES19-0301 Service Upgrade ,}4''''17',.:, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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' CITY OF ATLANTIC BEACH ERES19-0301
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800 SEMINOLE ROAD 9ISSUED: 10/15/2019
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\-4,-..);i19/ ATLANTIC BEACH. FL 32233 EXPIRES: 4/12/2020
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:
1212 JASMINE ST ELECTRICAL RESIDENTIAL SERVICE UPGRADE 200 AMP $1000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171020 0020 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
FIRST CHOICE ELECTRIC 716 N VALLEY FORGE RD NEPTUNE BEACH FL 32266
INC
OWNER: , ADDRESS: CITY: STATE: ZIP:
ROBERT & SHERRI 2208 MARSH POINT RD JACKSONVILLE FL
EMAHISER
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SERVICE CHANGE 455-0000-322-1000 200 $50.00
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:$109.00
Issued Date: 10/15/2019 1 of 2
�s"'s'', ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
/c;', 'A ERES19-0301
CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD ISSUED: 10/15/2019
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\ko'3 9)/ ATLANTIC BEACH. FL 32233 EXPIRES:4/12/2020 p
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Issued Date: 10/15/2019 2 of 2
Electrical Permit Application **ALL INFORMATIONHIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
T 800 Seminole Rd, Atlantic Beach, FL 32233 G R E59 - O3 0 `
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 12-12_ a..Sa,\t'vc S�rrGk PROJECT VALUE $ /16(1° • `'r"
JEA INFORMATION REQUIRED ON ALL PERMITS: .(1)(-3 AMPS Zc) VOLTS i PHASE
NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
Residential (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Meters
[ [Commercial (Main)Service:
0-100 amps u101-150amps o151-200amps ❑ amps DCT Service amps
Conductor Type Size
Multi-Family(Main)Service:
❑O-100 amps o101-150amps D151-200amps ❑ amps # of Unit Meters
TEMPORARY POLE: amps
." SERVICE UPGRADE: nZ°° amps ❑CT Service amps
LA NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps 150amps 200amps amps ❑CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30a mps 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 ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
[Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change nOH 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 th provisions of any other state or local law regulation construction or the performance of
construction.
Owner Name: 'Zc .6c-_rf' Ebe..11„e..t„,1., Phone Number:
Electrical Company: F,R..0. \' C1..a tc..c. zlte-\rti C Office Phone: 7-41-133 Fax:
Co.Address: '7 1 b VcAr-A Fc rpc VA 1,.. . City: 1J e_� v.we.b3•. State: (='L .LL
Zip: 32 2
License Holder: ..C3.
1w �N
c r--� State Certification/Registration#: 6C-2 1
10
Notarized Signature of License Holder —1o.>...ss.,i',J . 1
The • •••••• •• ••-•.. __-.___ - . before me this Islay . 0 A 21 w in th State of Florida,County of
;o TONT GINDLESPERGER
P11 COMMISSON#GG 353178 S 'nature of Notary Public o `� __7-a,„,..--------
, . . EXPIRES:October 6,2023
Personally Known OR[ ]Produced Identification
"-7, ,w F ; Bonded Th,Nd.v i Public uori ( y
- -----•- ••e of Identification: L--