920 Sailfish Dr ERES19-0319 Pool Elec .Aif;,
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0319
800 SEMINOLE ROAD ISSUED: 11/1/2019
"�:�� ATLANTIC BEACH. FL 32233 EXPIRES:4/29/2020
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:
920 SAILFISH DR ELECTRICAL RESIDENTIAL POOL ELECTRIC $2000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171164 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
MCCLURE ELECTRICAL JACKSONVILLE
537 N 5TH AVE FL 32250
CONTRACTORS BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
STEVENS LISA 920 SAILFISH DR ATLANTIC BEACH FL 32233-4219
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.
imist FEES
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 52.00
TOTAL: $99.00
Issued Date: 11/1/2019 1 of 2
~:o..A4iii %, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
�s � t�,
CITY OF ATLANTIC BEACH ERES19-0319
u)-41 V" ISSUED: 11/1/2019
800 SEMINOLE ROAD
`R yr ATLANTIC BEACH. FL 32233 EXPIRES: 4/29/2020
Issued Date: 11/1/2019 2 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 E R CStol
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 920 Sail Fish Dr. West PROJECT VALUE$ 2••� 0on•
JEA INFORMATION REQUIRED ON ALL PERMITS: 80 AMPS 2-AC_VOLTS I PHASE
I i NEW SERVICE: 0 Overhead ❑Underground ❑Underground up Pole
❑Residential (Main) Service:
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial (Main) Service:
00-100 amps 0101-150amps D151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑0-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps OCT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps D200amps ❑ amps ❑CT 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:
OSwimming Pool Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ®Motors 3 HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection Danel Change DOH to UG
Dither: 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.
Owner Name: Lisa Stevens Phone Number:
Electrical Company: McClure Electrical Contractors Office Phone: 904-237-4701 Fax:
Co.Address: 1521 Inverness Rd City: Fernandina BeachState: FL Zip: 32082
License Holder: Robert McClure State Certification/Registration#: ER0008818
Notarized Signature of License Holder a�/L-//I—Ns– –.
The foregoing instrument was acknowledged before me this S day t 201 in the State of Florida,County o&-lib
nature o Notary PublicC
:• CHRIS ANN PAYER'
�� MY COMMISSION#GG0 ersonally Known OR[ ] Produced Identification
�',.'a :eP:�'- EXPIRES September 03,20,40e of Identification:
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