57 Sherry Dr ERES19-0302 New Service rs''' 4-_,2,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACH ERES19-0302
�- V ISSUED: 10/15/2019
„� 800 SEMINOLE ROAD
`.!Oi1~ 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:
57 SHERRY DR ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE $3000.00
TYPE OF REAL ESTATE I ZONING: j BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169756 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
APPLE ELECTRIC, INC 2001 3RD ST NEPTUNE BEACH FL 32266
OWNER: ADDRESS: I CITY: STATE: ZIP:
AF AB VENTURE LLC 1738 SELVA MARINA DR NEPTUNE BEACH FL 32266
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
I Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 1- ;
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
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: $129.00I
Issued Date: 10/15/2019 1 of 2
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51-Av'l%, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r. jz� S j ERES19-0302
CITY OF ATLANTIC BEACH
�r ISSUED: 10/15/2019
800 SEMINOLE ROAD
"4:-\ ATLANTIC BEACH. FL 32233 EXPIRES:4/12/2020 I
Issued Date: 10/15/2019 2 of 2
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**HINFORMATION
11--L�rElectrical Permit Application HIGHLIGHTED IN
•
ri' City of Atlantic Beach Building Department GRAY IS REQUIRED.
r ❑ R t ci —030 -4
=V 800 Seminole Rd, Atlantic Beach, FL 32233
-:!'-;"'� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: `I 5 A `,-.( ►� PROJECT VALUE$ 3 v v O'v e4`.e,
JEA INFORMATION REQUIRED1 ON ALL PERMITS: i7t- AMPS ).-`4C-% VOLTS / PHASE
ElNEW SERVICE: 0 Overhead k nderground OUnderground up Pole
EIResidential (Main)Service:
00-100 amps 0101-150amps 01.51-200amps 0 amps #of Meters
OCommercial (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
DMutti-Family(Main) Service:
X10-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
L EMPORARY POLE: _amps
0 SERVICE UPGRADE: ❑ amps OCT Service amps
n NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps D200amps 0 amps OCT Service amps
❑ 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:
DSwimming Pool OSign ❑Smoke Detectors (Qty) ❑Transformers KVA OMotors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can OSafety Inspection OPanel Change DOH to UG
❑Dther: Updated 10/17/11
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 has
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 permitdoes not,give alittiority_to violate the provisions of any other state or local law regulation construction or the performance o
construction. i"A7/1j'zu ,ij "r 1 G(i
Owner Name: n n Phone Number:
Electrical Company: RYYi 07'�c 1[`i i (1 Li_C Office Phone: q0c`-33(1-93 7`) Fax:
Co.Address: 2,`)O I 3 r d 5-1' City: /0-eP`), Je e Ch State: FL-- zip:3 Zz (
License Holder: 61)2 J S irS= 5 State Certification/Registration#: f g- %30/ 3 8 5-7
Notarized Signature of License Holder QJ. ? -
P-id.,
The foregoing instrument was acknowledged before me this /Sf day of OCA f20 1 ct, in the State of Florida, County of , . ,s,
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Signature of Notary Public u =- —a�f-d�4,1) r j�. C,,�„y48.1-4
Notary Pubic State of Florida
Beverly K Elias [personally Known OR[ I Produced Identification
VT/
My Gomm axion GG 315109 T e of Identification:
Q'tp A/ Expiroa 01/1 212 0 2 3 Type