1625 Atlantic Beach Dr ERES19-0306 Generator ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0306
800 SEMINOLE ROAD ISSUED: 10/16/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 4/13/2020
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:
1625 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL ELECTRIC 22 KW $2400.00
GENERATOR w/200 a ATS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1080 ATLANTIC BEACH
COUNTRY CLUB UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
AMERICAN ELECTRICAL 5065 ST AUGUSTINE RD #13 JACKSONVILLE FL 32207
CONTRACTING, INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
ADAM LEOPOLD AND
JENNIE D LEOPOLD FAMILY 1625 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233-
TRUST
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.
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
Issued Date: 10/16/2019 1 of 2
.,--:11-4,,J.,---- ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
f 'frt f ERES19-0306
CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD ISSUED: 10/16/2019
ERf9� ATLANTIC BEACH. FL 32233 EXPIRES:4/13/2020
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: 10/16/2019 2 of 2
_ Electrical Permit Application "ALL INFORMATION
( o_rHIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
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800 Seminole Rd, Atlantic Beach, FL 32233 �RES(9 - v3�
`t hti • ) Phone: (904) 247-5826 Email: Buil dl in
g Dept@coab.us PERMIT#:
JOB ADDRESS:,I69c A44.AirMLC 'teach l - PROJECT VALUE 024100 OO
JEA INFORMATION REQUIRED ON ALL PERMITS:0.60 AMPS. 4-101/OLTS I PHASE
❑NEW SERVICE: D Overhead OUnderground ❑Underground up Pole
[]Residential(Main)Service:
O 0-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service:
O 0-100 amps C1101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
❑D-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE:❑ amps OCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 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:
❑Swimming Pool❑Sign OSmoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
tgl REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can OSafety Inspection nel Change DOH to UG
.4ether: it 4 a.. aa.>'w egxlerC CL LI o.. AS Updated10/17/18
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. ��//���1�� A o� 4
Owner Name:0011111�J tr"43•Pit . (.E h t c. Phone Nu^m-�ber:19y97 838'•X783
Electrical Company:A `t AC.Ctn rG\Qjk ?.1C$ L Office Phone:( )-33 ( --7--70 Fax:
Co.Address: ,�olQG-3 &tJ&4J-rt y 12- • City:Oul�/It( State:(PL Zip:i32 c7
License Holder: [,3��
i �r\tvy [� State Certification/Registration#:; U.C.1300'1311
Notarized Signature of License Holder r_ _ 0"'7 4. *B4410.1.
'`,4� ._ ._. r.
The foregoing instrument was ack wledged before me this. _day of .F...4-• , 2011, in e tate of Florida,County of ,t,UAL..
Notary Pl ubs c Stt+ta o
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f Florida Signature of Notary Public I f
; ' MCommawton00 2t10ttt4 Personally Known OR[ ]Produced Identification
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