1913 Mary St ERES19-0351 elec safety permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
s� ERES19-0351
CITY OF ATLANTIC BEACH
V"
800 SEMINOLE ROAD ISSUED: 12/16/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 6/13/2020
MUST CALL INSPECTION • • 1 FOR + INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT • 1 OF • + BUILDING
CODE, AND CITY OF ATLANTIC + CH CODE OF ORDINANCES .
ALL • i OF PERMIT APPLY, PLEASE + + .
LNOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
be found in the public records of this county,and there may be additional permits required from other
ental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
1913 MARY ST ELECTRICAL RESIDENTIAL ELECTRIC SAFETY $100.00
INSPECTION
TYPE OF +
• :D •
• • GROUP:
172358 0100 LEWIS S/D
COMPANY: ADDRESS:
Tropical Electric Service 53 Valley Grove Drive Ponte Vedra FI 32081
LLC
• ADDRESS:
CASTLE CLARK 1115 3RD AVE N JACKSONVILLE FL 32250-3531
BEACH
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
I
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 12/16/2019 1 of 2
S
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0351 CITY OF ATLANTIC BEACH
a til
800 SEMINOLE ROAD ISSUED: 12/16/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 6/13/2020
TOTAL:$109.00
Issued Date: 12/16/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
- J
800 Seminole Rd, Atlantic Beach, FL 32233 ERES
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1913 Mary Street,Atlantic Beach FL 32233 PROJECT VALUE$$ 100.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 2 PHASE
❑NEW SERVICE: ❑Overhead ❑Underground []Underground up Pole
Mesidential(Main)Service:
❑0-100 amps 0101-150amps M51-200amps [L_amps #of Meters
❑Commercial(Main)Service:
❑0-100 amps [3101-150amps E1151-200amps _amps ❑CT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
EID-100 amps 11101-150amps [1151-200amps []_amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE:❑ amps OCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
[3100amps ❑150amps ❑200amps ❑ amps [ICTService 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 ❑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 OSafety Inspection OPanel Change []OH to UG
ather:To tum power back on. Inspector can enter using Lock Box code 2581 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 th rovision pf any h r stat or local law regulation construction or the performance of
construction. l (� A G P
Owner Name: Cherry Pick Investments LLC Phone Number: (480)430-1035
Electrical Company:Tropical Electrical Service Office Phone: (W)502-9428 Fax:
Co.Address: 53 Valley Grove Drive City: Ponte Vedra State: FL Zip: 32081
License Holder: Scott Bar State Certification/Registration#: EC-13007771
Notarized Signature of license Holder
The foregoing instrument was acknowledged before me this ll-day of b (.LK 20 9 in thp State of Florida,County of W&)
SONYA R MCELRATH
Nota Public-State of Florida
Commission#GG 293455 Signature of Notary Public
.,
Notary My Comm.Expires May 13,2023 [ Personally Known OR[ j Produced Identification
Bonded through National Notary Assn. Type of Identification:
r yCash Register Receipt Receipt •
yr
City ofAtlanticBeach R11294
DESCRIPTION • QTY PAID
PermitTRAK $109.00
ERES19-0351 Address: 1913 MARY ST APN: 172358 0100 $109.00
ELECTRICAL $105.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
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 FEES ' • , $109.00
Date Paid: Monday, December 16, 2019
Paid By: Tropical Electric Service LLC
Cashier: CB
Pay Method: CREDIT CARD 4
Printed: Monday, December 16, 2019 9:00 AM 1 of 1