1690 Atlantic Beach Dr ERES19-0310 Elec for Solar ,i,.4' 1't ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
jCITY OF ATLANTIC BEACH ERES19-0310
or
800 SEMINOLE ROAD ISSUED: 11/18/2019
�i,J,319" ATLANTIC BEACH. FL 32233 EXPIRES: 5/16/2020
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: i PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1690 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL ELECTRIC FOR SOLAR $500.00
TYPE OF REAL ESTATE I ZONING: i BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1710 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
AIA SOLAR CONTRACTING 10418 NEW BERLIN 223 JACKSONVILLE FL 32226
INC
OWNER: ADDRESS: CITY: STATE: ZIP:
URBACH JUDITH 1690 ATLANTIC BEACH DR 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.
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
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date: 11/18/2019 1 of 2
`�''�''"je, ELECTRICAL RESIDENTIAL PERMIT
� PERMIT NUMBER
h., °„ ERES19-0310
; ,.. s, CITY OF ATLANTIC BEACH
��� ISSUED: 11/18/2019
, 800 SEMINOLE ROAD
�`''$». V ATLANTIC BEACH. FL 32233 EXPIRES: 5/16/2020
Issued Date: 11/18/2019 2 of 2
OFFICE COPY
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ER LS I -03 i 0
=}'' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: O f`\OI C. j�()1C(1 XWC- PROJECT VALUE $ L-
JEA INFORMATION REQUIRED ON ALL PERMITS:ai) AMPS--90 VOLTS PHASE
❑ 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 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
00-100 amps 1:1101-150amps 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 ❑ amps DCT 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:
111 OTHER ELECTRICAL PROJECTS:
['Swimming Pool❑Sign ❑Smoke Detectors (Qty) ['Transformers KVA ['Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Ins ection aanel Change DOH to UG
3ther: CG(N`( tC'`11X\. ��o( V _� 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 nottgive authorityutto violate the provisions of any other state or local law regulation construction or the performance of
constru
Owner Name: 01/4r 1tS V�t{�,..A -1-, OW
Number"`v��71,),,a�J�
- ma)
Electrical Company:1 `` c/ADI.`��(��.�� C(`S�'�`(( CtI I\ Office Phone: �W`" ��� -164 Fax:
Co.Address: \V�\0 ' iQU. VGt\V\ �422, City: State: •t. Zip: A. �j
License Holder:r:XW\ Qom/ 10. \}
a ( - State Certification/Registration#: � _C` 031\ 15
Notarized Signature of License Holde 1
The foregoing instrument was acknow ged before me this day of ,20 t in the State of Florida,County ofwo 1
VIRGINIAANNA JADAU/V\iVVVA-1144czed9-,
-A!* Signature of Notary Public
MY COMMISSION#FF991573
'•',Z 4,t EXPIRES May 11,2020 40 Personally Known OR[ ] Produced Identification
(407)398-0153 FlondallotaryService.com Type of Identification: