1825 Live Oak Ln ERES19-0320 Bathroom Remodel Elec �rt'""'';lf� ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
i,u - ' ' ERES19-0320
iii. CITY OF ATLANTIC BEACH ISSUED: 10/29/2019
\� r
800 SEMINOLE ROAD
`').i_»'' vATLANTIC BEACH. FL 32233 EXPIRES:4/26/2020
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:
1825 LIVE OAK LN ELECTRICAL RESIDENTIAL BATHROOM REMODEL $2000.00
ELECTRICAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0738 SELVA MARINA UNIT
10A
COMPANY: ADDRESS: CITY: STATE: ZIP:
DUTCHER ELECTRIC INC 1122 NORTH 3RD AVE JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
PENDLETON RONALD L 1825 LIVE OAK LN ATLANTIC BEACH FL 32233-4509
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.
7111
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 5 $3.00
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
Issued Date: 10/29/2019 1 of 2
r5I.J-1�,% ELECTRICAL RESIDENTIAL P(---• ERMIT PERMIT NUMBER
�'J CITY OF ATLANTIC BEACH ERES19-0320
ISSUED: 10/29/2019
800 SEMINOLE ROAD
°i 1'" ATLANTIC BEACH. FL 32233 EXPIRES:4/26/2020
TOTAL: $62.00
Issued Date: 10/29/2019 2 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 v
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: / mss `, �� al-4K Z/71/4(k, PROJECT VALUE $ Ci )D
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE
NEW SERVICE: H Overhead ❑Underground ❑Underground up Pole
- Residential (Main)Service:
0-100 amps n101-150amps ❑151-200amps ❑ amps # of Meters
_:Commercial (Main) Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑O-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
SERVICE UPGRADE: - amps ❑CT Service amps
I I NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches:I/ 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 oMotors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
oReplace Burnt/Damaged Meter Can oSafety Inspection riPanel Change ❑OH to UG
oOther: Updated l0/17/18
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 '/1241Owner Name: /26 L1 cf� 13716 ,1c/ Phone Number: ��/" figz_7
Electrical Company: /) 1� 4 r/ V (Pl/csirC //4 C Office Phone: >?el/ - 58O6 Fax:
Co.Address: 7/2 2 3/`/ ` ��ti- & City: /ft X /rte State: /—/Zip:
License Holder: s 4: _ - Sta • Certification/Registration#: /2 L/3(J/2 _z S7
Notarized Signature of License Holder ,
The foregoing instrument was acknowledged before me this • .y of 40 Dig i the St:te of Florida,County of
Signature of Notary Pu.lic • ! _
TONI GINDLESPERGER [ ersonally Known OR[ ] Produced Identification
.; MY COMMISSION 6 GG 353178 Type of Identification:
.';;• gyp= EXPIRES:October 6,2023
''0f.!`° , sonde.,Thru Notary Pubic Under*d(era