1253 SELVA MARINA CIR- ERES19-0331 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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ERES19-0331
CITY OF ATLANTIC BEACH
ISSUED: 11/19/2019
/ 800 SEMINOLE ROAD
•"--1,91119',• ATLANTIC BEACH. FL 32233 EXPIRES: 5/17/2020
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:
1253 SELVA MARINA CIRCLE ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE 300 $500.00
AMPS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
COMPANY: ADDRESS: CITY: STATE: ZIP:
STEWART ELECTRICAL GREEN COVE
545 NORTH PALMETTO AVENUE FL 32043
CONTRACTORS, INC. SPRINGS
OWNER: i ADDRESS: CITY: STATE: ZIP:
DORMESHIAN ANDREW
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 NEW SINGLE FAMILY 455-0000-322-1000 300 $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.18
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $149.18
Issued Date: 11/19/2019 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 E .S lQ 1- 033
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: I -� -5(2
�CG ✓`'i rn q v.1`c C irCC/r- PERMIT# 17-03 o
fret,./ 1-fo��e-
JEA INFORMATION REQUIRED ON ALL PERMITS 00 AMPS yo VOLTS / PHASE
nO
VALUE OF WORK$ S w
NEW SERVICE ❑ Overhead Underground [3 Underground up Pole
❑Residential(Main)Service
_110-100 amps ❑101-150amps 151-200amps V, 30o amps #of Meters
73 Commercial(Main)Service
0-100 amps ❑101-150amps 151-200amps ❑ amps U CT Service amps
Conductor Type Size
0 Multi-Family(Main)Service
❑0-100 amps C!101-150amps u 151-200amps ? amps #of Unit Meters
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 2200amps G amps OCT 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
❑Swimming Pool Sign 0 Smoke Detectors Qty ❑Transformers KVA Li Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can a Safety Inspection :Panel Change „j OH to UG
❑Other:
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.
Property Owners Name 1 (_ea)
01-111 e,sk t r\ Phone Number
Electrical Company .5 W An Cfe tf C t. Office Phone KD/ 2>> /' ax
Co.Address: S Y c PI/Pei r One 11.7 (9-kie. city GCS Alkif Zip S? o VS
License Holder(Print): . 7 / -S e \� cr`'
Ait
Notarized Signature of License Holder c{�o T4s '
Sworn and u cribed befo - -'�i a� " 20
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Signature of Notary Public ��/��/