1771 Maritime Oak Dr ERES19-0357 New Elec Service .�t' `�` ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
If ERES19-0357
"` - CITY OF ATLANTIC BEACH
,vim :1-: 800SEMINOLE ROAD ISSUED: 12/20/2019
;119EXPIRES: 6/17/2020
ATLANTIC BEACH. FL 32233
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:
1771 MARITIME OAK DR ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE $3200.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1815 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: I ADDRESS: CITY: STATE: ZIP:
TRI COUNTY ELECTRICAL 11637 E COLUMBIA PRK DR JACKSONVILLE FL 32258
OWNER: ADDRESS: CITY: STATE: ZIP:
GROH JAMES S 1550 AVONDALE AVE JACKSONVILLE FL 32205
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.
q
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 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: 12/20/2019 1 of 2
r____
1r ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
�, ERES19-0357
,,,,,y
-r CITY OF ATLANTIC BEACH Iss RE 19-035019
800 SEMINOLE ROAD
1,` ATLANTIC BEACH. FL 32233 EXPIRES: 6/17/2020
Issued Date: 12/20/2019 2 of 2
;' -,- Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
Lf�\ City of Atlantic Beach Building Department GRAY IS REQUIRED.
., 800 Seminole Rd, Atlantic Beach, FL 32233 E R 3 i — 0357
Phone: (904) 247-5826 Email: BLilding-Dept@coab.us PERMIT#:
JOB ADDRESS: \ I I 1 I I `\-I' , ; \ 'I< CA)k- 01 PROJECT VALUE $ rce'- , t
JEA INFORMATION REQUIRED ON ALL PERMITS: - ?�''U AMPS 1 ' VOLTS / PHASE
7 NEW SERVICE: ❑Overhead DUnderground Underground up Pole
`.. Residential (Main) Service:
00-100 amps ID101-150amps ,'151-2110amps 0 amps If of Meters
OCommercial (Main) Service:
00-100 amps 1:3101-150amps 0151-21(Damps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main) Service:
00-100 amps 0101-150amps 0151-2n0amps 0 amps #of Unit Meters_
TEMPORARY POLE: amps
I I SERVICE UPGRADE: ❑ amps I:IC T Service amps
C NEW FEEDER (ADDITIONS, ACCESSORY STRUCTU (ES, ETC.):
0100 amps 0150amps ❑200amps ❑ )mps QCT Service amps
I I ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, hCCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31.100amps 101-200amps
Appliances: 0-30amps 31.100amps 101-200amps
A/C Circuits: I 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: -
OTHER ELECTRICAL PROJECTS:
❑=;: m.m ng Po-c. ❑Sign ❑Smoke Detectors _(Qty) ❑Transformers KVA ❑Motors HP
[-1 FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
ri REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change DOH to UG
:Other: Updated 70/17/18
Permit becomes void if work does not commence within a six month peril d 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 provi!ions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisi,ins of any other state or local law regulation construction or the performance of
construction. (
Owner Name: ri Phone Number:
Electrical Company: In County Electrical Contractors, Inc. Office Phone: (904)260.9889 Fax:(904)260-9688
Co.Address: 11637 East Columbia Park Drive , _ ity: Jacksonville State: FL Zip: 32258
License Holder: Kevin L. Weir / i ate C rtification/Registration#:'EC13005421
Notarized Signature of License Holder Z��,i'" i-e
Th d e 8ll t a,ire= o l p.ged before me this (`( ,day,.7.7e t,; ,201`1, in the State of Florida,County of O1Jv'ctQ1
Ovok, TAMMyPALL
i' Signature of Notary Pub lc JC (c..7
:al 71 Notary Public-State of Florida -�-•�� -
,i Commission#FF 995425
I:c+ fiT� «r: Personally Known OF [ )Produced Identification
i .yrFO�' My Comm.Expires Jul 6.2020 Type o Identification:
Bonded through National Notary Assn.s
,,,' Cash Register Receipt Receipt Number
� f)
r City of Atlantic Beach R11346
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $129.00
ERES19-0357 Address: 1771 MARITIME OAK DR APN: 169505 1815 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
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 PAID BY RECEIPT: R11346 $129.00
Date Paid: Friday, December 20, 2019
Paid By: TRI COUNTY ELECTRICAL
Cashier: CT
Pay Method: CREDIT CARD 3
Printed: Friday, December 20,2019 1:36 PM 1 of 1 j