1104 STOCKS ST - ERES19-0352 .,1,t"r);„ ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
j5'741.
`, CITY OF ATLANTIC BEACH ERES19-0352
�,a., ���" ISSUED: 12/12/2019
800 SEMINOLE ROAD
01119''' ATLANTIC BEACH. FL 32233 EXPIRES: 6/9/2020
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:
1104 STOCKS STREET ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE $5000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
COMPANY: ADDRESS: CITY: STATE: ZIP:
ELITE ELECTRICAL SERVICES 11611 CAPE HORN AVE JACKSONVILLE FL 32246
LLC
OWNER: ADDRESS: CITY: STATE: ZIP:
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.
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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 200 $70.00
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: $129.00
Issued Date: 12/12/2019 1 of 1
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
fr-f- ' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 d{E,jCG —0J'S 2
Phone: (9 4) 247-5826 Email: Building-Dept@coab.us PERMIT#: t
JOB ADDRESS: / S/BuPROJECT VALUE $ ."Gj�6
JEA INFORMATION REQUIRED ON ALL PERMITS:alL
AMPS/ OLTS / PHASE
1 NEW SERVICE: a Overhead Underground ❑Underground up Pole
,,Residential (Main)Service:
0-100 amps n101-150amps 0151-200amps ❑ amps #of Meters
Commercial (Main) Service:
❑O-100 amps D101-150amps D151-200amps ❑ amps CT Service amps
Conductor Type Size
IiMulti-Family(Main)Service:
❑O-100 amps D101-150amps o151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: - amps
❑ SERVICE UPGRADE: amps ICT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps 200amps amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30am ps 31-100am ps 101-200am ps
Appliances: 0-30amps 31-100am ps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
I OTHER ELECTRICAL PROJECTS:
nSwimming Pool Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
—I FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Bu nt a ged Meter C n ❑Saf y Inspection ❑Panel Change DOH to UG
❑Other: /i ''Am '/ 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: / �jy _ 9.W.,',--e.--4-
PPho1n`e Number:
Electrical Company:: .E7/VP 1/' �•[.(c�c�/*/7"cOffice Phone: /�r Y D/YD Fax: ���
Co.Address: ./( /( LC //1 ��t?/ City: Site: Zip: ��<�C/
License Holder: C / -� / tate Certificat' a ''tCation : Gf D ��'j
Notarized Signature of License Holder 1 ____
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The foregoing instrument was acknowledged before me this t C—da . V. 1 the State o lorida,County of
Y' TONI GINDLESPERGER ignature of Notary Public ` 9 CJ` _
��:. ,
_,. i■3 Ir1YCOMMISSIONgC�353178 ] Personally Known OR[ ] Produced Id� ifica 'on
t' ;^w^`Pa; EXPIRES;pctober 6 mera ype of Identification:
,'of'''' Bonded Ttuu Notary R�bKc Urdetw