1971 Mipaula Ct ERES19-0309 Pool Elec c�Lv% ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0309
�� ISSUED: 10/21/2019
800 SEMINOLE ROAD
±�^?.1119~ ATLANTIC BEACH. FL 32233 EXPIRES: 4/18/2020
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:
1971 MIPAULA CT ELECTRICAL RESIDENTIAL POOL ELECTRIC $600.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1028 SELVA NORTE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
DAVID PRUETTES
ELECTRICAL SVC. 331 -8 PARI<RIDGE AVE ORANGE PARK FL 32065
OWNER: ADDRESS: CITY: STATE: ZIP:
KIGHT MICHAEL D JR 1971 MIPAULA CT ATLANTIC BEACH FL 32233-4555
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.
.11r1, 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 SWIMMING POOLS 455-0000-322-1000 0 $40.00
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: $99.00
Issued Date: 10/21/2019 1 of 2
- •,,i.:LyrELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER I
, CITY OF ATLANTIC BEACH ERES19-0309
\�1» r) CITY
10/21/2019
1
�`'';1�
800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES:4/18/2020
Issued Date: 10/21/2019 2 of 2
E Res k c - 0309
Electrical Permit Application **ASL INFORMATION
pM HIGHUGHTED IN
J � City of Atlantic Beach Building Department GRAY IS REQUIRED.
Y
e, : - 800 Seminole Rd, Atlantic Beach, FL 32233
`p'='%� Phone: (904) 247-5826 Email: Buildin coab.us PERMIT \ R.-CM
JOB ADDRESS: tG1 \ V `\f\X\Q C ..rt PROJECT VALUE$ `(M
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE
El NEW SERVICE: 0 Overhead OUnderground ('Underground up Pole
DResidential(Main)Service:
00-100 amps 0101-150amps 0151-Z00amps ____amps #of Meters
0Commercial(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
:Multi-Family(Main)Service:
00-100 amps 0101-150amps 0151-200amps fl amps #of Unit Meters
`�TEMPORARY POLE: amps
iT SERVICE UPGRADE:El amps OCT Service amps
pi NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
0100 amps fl150amps 0200amps El amps DCT Service amps
____ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30am ps 31-100amps 101-200a mps
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:
05wimming Pool[]Sign Osmoke Detectors (Qty) OTransformers KVA ['Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
OReplace Burnt/Damaged Meter Can OSafety Inspection OPanel Change DOH to UG
Other:
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.m [f �y�
Owner Name: f� ( ' ► �,JIvy, Phone�ryNumber: {
�}- ` "t3f ' PIi & 1011 Faxg- I O Uq
Electrical Company:, pp �(�t}�w`�(ru�.L1�.,7�,�Q���.•-�� t�) Ice one: /y�/►r
Co.Address:�?v 1'O 1:"011 F—C Pte City: % pal f..- State:RInt Zip:'
500166
License Holder: ,/As, r 0 It' 71 f ../"2State Certification/Registration#:fCc.i 03d133
Notarized Signature of License Holder / "11-;''/
The foregoing instrument was acknowledged before me this L ay of�.- 11.'hr,. '0 J in the State of Florida,County of N'i/"
i..... ., 'CHO ROBERTS ( ��� v
( ;os � Signature of Notary Public
: : Notary Public-State of Florida
4 4 '%"1:;:'i,)' " Commission N GG 211925
1 [ ersonally Known OR[ ]Produced Identification
+hyComm.Expi�esAug21,2D22
''''Bonded through National Notary Assn. li Type of Identification:
Cash Register Receipt Receipt Number
City of Atlantic Beach R10794
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ERES19-0309 Address: 1971 MIPAULA CT APN: 169506 1028 $99.00
ELECTRICAL $95.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
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: R10794 $99.00
Date Paid: Monday, October 21, 2019
Paid By: DAVID PRUETTES ELECTRICAL SVC.
Cashier: CB
Pay Method: CREDIT CARD 5
Printed:Monday,October 21, 2019 1:20 PM 1 of 1