405 Skate Rd ERES19-0343 pool electric permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
rERES19-0343
CITY OF ATLANTIC BEACH
~~ 800 SEMINOLE ROAD ISSUED: 12/4/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 6/1/2020
MUST CALL INSPECTION • • • PM FORDAY • •
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION ! OF • ' iBUILDING
CODE, NEC, IPMC, AND CITY OF • i OF ORDINANCES .
ALL CONDITIONS OF 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: • OF • •
405 SKATE RD ELECTRICAL RESIDENTIAL POOL ELECTRIC $800.00
TYPE OF
ZONING: :D •
• iGROUP:
171530 0000 ROYAL PALMS UNIT
02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
COLONIAL ELECTRICAL
SERVICES, INC 523 SOUTH ELLIS ROAD JACKSONVILLE FL 32254
OWNER: CITY: STATE: ZIP:
MIKE & AMY FRANQUI 405 SKATE RD ATLANTIC BEACH FL 32233-3821
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 • •
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 4SS-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: 12/4/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0343
800 SEMINOLE ROAD ISSUED: 12/4/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 6/1/2020
Issued Date: 12/4/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
r.
H i6a-FtIG��.IED 1 N
City of Atlantic Beach Building Department RAY I EQAR q-
�� i 800 Seminole Rd, Atlantic Beach, FL 32233 FN`�,e- t°. ' C ((
Phone: (904) 247-5826 Email: Buil ing-Dept coab.0 PERMIT#:
JOB ADDRESS: S PROJECT VALUE $ IT,0C, cn
JEA INFORMATION REQUIRED ON ALL PERMITS:2 AMPS l�f C,VOLTS PHASE
7 NEW SERVICE: ❑Overhead ❑Underground ❑Underground up Pole
®Residential (Main)Service:
❑0-100 amps [3101-150amps E3151-200amps []_amps #of Meters
®Commercial(Main)Service:
❑0-100 amps 0101-150amps 13151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
Multi-Family(Main)Service:
[30-100 amps E3101-150amps [3151-200amps ®_amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
E3100amps ❑150amps ❑200amps ❑ amps EICT 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
(*1m
ber of Lighting Outlets, Including Fixtures:
ELECTRICAL PROJECTS:
ming 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 Inspection aanel Change []OH to UG
❑Dther: updated 10/17118
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: n Phone Number: /3a' 0
Er'l'1"t CO. O fice Phone: t� ,ren - `7 6L9`S=a2S`
Electrical Company. 04 Fa .
Co.
Fax:
Co.Address: s a✓t City: 110 'cmylt(QState: Zip: 32Zi?
License Holder. �6 S State Certification/Registration#: ��-" 13400 !
Notarized Signature of License Holder c
i
The foregoing instrument was acknowledged before me this 201 i to o Florida,County of
^rwv
4110-0,01;
E'Wras
yPut�licstoworfloriW� Signatur f Notary P lic
a Jean Baldwin
Omm"1 nGO2a�d�2ersonally Known OR[ ] Produced Ide ' ication
av�trtarta Type of Identification:
S rj�\ifJ��
t� RegisterReceipt Number
City�r
of : • • •
• • •
PermitTRAK $99.00
ERES19-0343 Address: 405 SKATE RD APN: 171530 0000 $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 .6 $99.00
Date Paid: Wednesday, December 04, 2019
Paid By: COLONIAL ELECTRICAL SERVICES, INC
Cashier: CB
Pay Method: CREDIT CARD 4
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Printed:Wednesday, December 04, 2019 12:01 PM 1 of 1