1991 Mipaula Ct ERES19-0341 glass room elec permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
JJ
CITY OF ATLANTIC BEACH ERES19-0341
J V~ 800 SEMINOLE ROAD ISSUED: 12/5/2019
o"i >r ATLANTIC BEACH. FL 32233 EXPIRES: 6/2/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENTEDITION 1 OF • '
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF • 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.
• : , rr • • • OF • •
1991 MIPAULA CT ELECTRICAL RESIDENTIAL GLASS ROOM - ELECTRIC $975.00
TYPE OF •
• • GROUP:
169506 1032 SELVA NORTE UNIT 01
• • . . rr • STATE:
EMPIRE ELECTRIC INC 5810 Macy Avenue JACKSONVILLE FL 32211
• ADDRESS: CITY: STATE: ZIP:
DAY JAMES A 1991 MIPAULA CT 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 • r •
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 6 $3.60
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:$62.60
Issued Date: 12/5/2019 1 of 2
1 �
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ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0341
ISSUED: 12/5/2019
800 SEMINOLE ROAD
"c li ATLANTIC BEACH, FL 32233 EXPIRES: 6/2/2020
Issued Date: 12/5/2019 2 of 2
Electrical Permit Application *"ALL INFORMATION
�� HIGHLIGHTED IN
1�
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 GEE'S (C) - d �eq '
`Vail' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: t 'nu
JOB ADDRESS: I�a I rn I Pal)/q (1 r,)4a &'j PROJECT VALUE $ 915.00
IEA INFORMATION REQUIRED ON All PERMITS: CAMPS,Q VOLTS_4— PHASE
❑ NEW SERVICE: ❑Overhead ❑Underground []Underground up Pole
❑Residential (Main)Service:
❑0-100 amps 0101-150amps E1151-200amps ❑ amps # of Meters
❑Commercial(Main) Service:
❑0-100 amps 11101-150amps 11151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps 0101-150amps [1151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
[]100amps ❑150amps ❑200amps ❑ amps OCT Service amps
ZADDITIONS, 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 2
Number of Lighting Outlets, Including Fixtures:
F1 OTHER ELECTRICAL PROJECTS:
[]Swimming Pool[]Sign QSmoke Detectors (Qty) ❑T'ransformers KVA []Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change []OH to UG
❑fit he r: 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: �-L.S���r�^ (��_ n� Phone Number: 1�2—
Electrical Company: �m E°) �--�C L r I6 1- tT l Office Phone:juq-•3�6`M7 Fax:
Co.Address: Y
L Cit de4"E, 1/,-' State:�Zip:- 2-21
License Holder: State Certification/Registration 4:
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this day of 20 in tate of Florida,County of �y✓u�
,.,. JAMES M SULLIVAN
•'' �"4,. Signature of Notary Public
W COMMISSION#FF974214
EXPIRES March 22,2020 11 Personally Known OR[ �/rocluced Identification
i4o?)> �`� Fa.aaK,urs•�c.wm Type of Identification:
s
r.i=A'��si
Cash Register Receipt • Number
City • : R11222
DESCRIPTION • CITY PAID
PermitTRAK $219.80
ERES19-0340 Address: 435 OSPREY KEY APN: 172027 5082 $63.20
ELECTRICAL $59.20
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 7 $4.20
FIXTURES
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ERES19-0341 Address: 1991 MIPAULA CT APN: 169506 1032 $62.60
ELECTRICAL $58.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 555.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 6 $3.60
FIXTURES
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ERES19-0345 Address: 2349 SEMINOLE REACH CT APN: 168846 5725 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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 $219.80_
Date Paid: Thursday, December 05, 2019
Paid By: EMPIRE ELECTRIC INC
Cashier: CT
Pay Method: CREDIT CARD 052124
Printed:Thursday, December 05,2019 3:12 PM 1 of 1