1753 Live Oak Ln ERES19-0311 New Elec Service ro. �'''%, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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. CITY OF ATLANTIC BEACH ERES19-0311
�r 800 SEMINOLE ROAD ISSUED: 10/18/2019
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-'''.1.,-)1119%. ATLANTIC BEACH. FL 32233 EXPIRES: 4/15/2020
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: I DESCRIPTION: ; VALUE OF WORK:
1753 LIVE OAK LN ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE $0.00
TYPE OF I REAL ESTATE , BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0186 SELVA MARINA UNIT 06
COMPANY: ADDRESS: CITY: I STATE: ZIP:
TRI COUNTY ELECTRICAL 11637 E COLUMBIA PRK DR JACKSONVILLE FL 32258
OWNER: ADDRESS: I CITY: STATE: ZIP:
SCOTT JOSEPH M 1201 SEMINOLE RD 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.
I
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: $129.00
Issued Date: 10/18/2019 1 of 2
rS'�vi%� ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
`' : , CITY OF ATLANTIC BEACH
ERES19-0311
'r ISSUED: 10/18/2019
800 SEMINOLE ROAD
�;si�' EXPIRES: 4/15/2020 j
ATLANTIC BEACH. FL 32233 1
Issued Date: 10/18/2019 2 of 2
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\O' **ALL INFORMATION
Electrical Permit Application HIGHLIGHTED IN
j. ,l� City of Atlantic Beach Building DE partment GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, =L 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT ft: I ] —C?i 7C
JOB ADDRESS: 1 1 53 Ve- c \K La rl PROJECT VALUE $
JEA INFORMATION REQUIRED ON ALL PEWITS: A-IC AMPS c '10 VOLTS / PHASE
NEW_SERVICE: III Overhead .Underground DUnderground up Pole
tesiden ait lin)Service:
D0-100 amps D101-150amps 0151-200amps Or ..200 amps #of Meters I
(Commercial(Main) Service:
00-100 amps D101-150amps 0151-201)amps 0 amps OCT Service amps
Conductor Type Size
EJMulti-Family(Main)Service:
❑0-100 amps D101-150amps 0151-200amps 0 amps #of Unit Meters
TEMPORARY POLE: amps
I SERVICE UPGRADE: ❑ amps CICT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 a nps OCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,Ai:CESSORY 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 ❑Smoke Detectors (Qty) ❑Transformers KVA OMotors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
OReplace Burnt/Damaged Meter Can OSafety Ins )ection ❑Panel Change ❑0H to UG
❑7ther: updated/0/17/18
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 provisic ns of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisior s of any other state or local law regulation construction or the performance of
construction.
Owner Name: RIVERSIDE HOMES Phone Number: (904)503-7055
Electrical Company: Tri County Electrical Contractors, Inc. Office Phone: 19041 260.9669 Fax:(904)26:-9656
Co.Address: 11637 East Columbia Park Drive J City: Jacksonville State: FL Zip: 32258
License Holder:Kevin L. Weir ( a • Certification/Registration#: EC13005421
Notarized Signature of License Holder ,�/„;, / A
The foregoing instrument was acknowledged before me this I `?day of , 20[i, in the State of Florida,County of .bv,i,t_['
r ,„
Y ” �
:ra.".Ao'. ` Signature of Notary Public a wvr, /f'Ca_2e
) m TAMMY PALL
+'4 .`ten Notary Public-State of Florida
* " +'- Commission#FF 995425 [' Personally Known OR[ ]Produced Identification
''';';',41°;' P°e My Comm.Expires Jul 6,2020 °' Type of Identification:
Bonded through National Notary Assn.i•
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Cash Register Receipt Receipt Number
City of Atlantic Beach R10779
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $129.00
ERE519-0311 Address: 1753 LIVE OAK LN APN: 172020 0186 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
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: R10779 $129.00
Date Paid: Friday, October 18, 2019
Paid By:TRI COUNTY ELECTRICAL
Cashier: CB
Pay Method: CREDIT CARD 3
Printed: Friday,October 18,2019 11:30 AM 1 of 1