716 Cavalla Rd ERES19-0362 Replace Main Disconnect rS' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
• ��, ERES19-0362
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 12/27/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 6/24/2020
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:
716 CAVALLA RD ELECTRICAL RESIDENTIAL REPLACE MAIN DISCONNECT $750.00
TYPE OF REAL ESTATE { ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171365 0110 ROYAL PALMS UNIT 02A
COMPANY: ADDRESS: CITY: STATE: ZIP:
BEACHES ELECTRIC GREEN COVE
214 COKESBURY CT FL 32043
SERVICES INC. SPRINGS
OWNER: ADDRESS: CITY: STATE: ZIP:
OZIMKOVSKI LAURA ET AL 343 19TH ST ATLANTIC BEACH FL 32233-6803
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 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 REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: $94.00
Issued Date: 12/27/2019 1 of 2
''S1 'Jrlr' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ii
, , f ERES19-0362
�tp. . . s, CITY OF ATLANTIC BEACH
ISSUED: 12/27/2019
...toit. a V
800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 6/24/2020
Issued Date: 12/27/2019 2 of 2
ALL
=* INFORMATIONElectrical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 C;RES(9 _ 03c,Z
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 716 Cavalla Rd. PROJECT VALUE $$ 750.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 125 AMPS 240 VOLTS 1 PHASE
n NEW SERVICE: El Overhead ❑Underground ❑Underground up Pole
£Residential(Main)Service:
❑0-100 amps P101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service:
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑0-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
E l SERVICE UPGRADE:❑ amps OCT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps ❑ amps ELT 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
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
n REPAIRS/MISCELLANEOUS:
['Replace Burnt/Damaged Meter Can ❑Safety Inspection [Panel Change DOH to UG
✓Q)ther:Replace danaged main disconnect 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: Eugene OzilllkovSkl Phone Number: (904)422-2318
Electrical Company: Beaches Electrical Service Inc. Office Phone:(904)6293182 Fax:
Co.Address: 214 Cokesbury Ct. City: GCSState: FL Zip: 32043
License Holder: Todd Lockwood . e Certification/Registration#: ER0013172
Notarized Signature of License Holder � 77^7/ f`7.
` -The foregoing instrument was acknowledged befor-- C, ( day of 1010Lgib o in the State Florida,County of 1LJlJ V CL\
i nature of Nota Public
;;,rn+% TONI GINDLESPERGER g Notary
.•. ;: MY COMMISSION#GG 353178 rPersonally Known OR[ j Produced Identification
?: •�: EXPIRES:October 6,2023 ype of Identification:
°r`: Bonded Thu Notary Public Underwriters