1330 Ocean Boulevard ERES20-0020 Elec for Int Remodel r ' .' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
,.. , r, ERES20-0020
CITY OF ATLANTIC BEACH
,vv V~
800 SEMINOLE ROAD ISSUED: 1/30/2020
011 9r ATLANTIC BEACH, FL 32233 EXPIRES: 7/28/2020
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:
200 AMPS/240 VOLTS/FIRST
1330 OCEAN BLVD ELECTRICAL RESIDENTIAL PHASE - ELEC FOR INTERIOR $2400.00
REMODEL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171847 0000 MANDALAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
DUVAL ELECTRIC LLC 2109 1ST STREET SOUTH JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
ROBERT EBENER 1330 OCEAN BLVD ATLANTIC BEACH FL 32233-5744
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 AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $10.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $8.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $18.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date: 1/30/2020 1 of 2
4---.0..J-IP.
-`' IP.irle, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
iii
CITY OF ATLANTIC BEACH
�� ISSUED: 1/30/2020ERES20-0020
800 SEMINOLE ROAD
\\`t0'; 0. ATLANTIC BEACH, FL 32233 EXPIRES: 7/28/2020
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
•
TOTAL:$95.00
Issued Date: 1/30/2020 2 of 2
Electrical Permit Application **ALL INFORMATION
'"� �'�� �� HIGHLIGHTED IN
H'" City of Atlantic Beach Building Department GRAY IS REQUIRED.
'\ ;'i 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: CV-& °Q)•0°— °`
JOB ADDRESS: /330 (bri::: ii///e/ PROJECT VALUE $ 2 '/o
JEA INFORMATION REQUIRED ON ALL PERMITS: ZOO AMPS 21-/°VOLTS I PHASE
NEW SERVICE: ❑ Overhead ❑Underground ['Underground up Pole
❑Residential (Main)Service:
❑0-100 amps H101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps E101-150amps D151-200amps ❑ amps ECT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
0-100 amps u101-150amps o151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps riCT Service amps
Pl NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps 200amps amps ❑CT Service amps
74 ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: e 0 0-30amps 31-100amps 101-200amps
Appliances: 9. 0-30amps 31-100amps 101-200amps
A/C Circuits: 2_ 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 ❑Safety Inspection ❑Panel Change DOH to UG
❑Other: 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/ totviolate the provisions of any other state or local law regulation construction or the performance of
construction. -t12-4 - ejO12 L bP -1 )j. Phone Number: 7 e9y—(-9" — ZO3 P
Owner Name: � n
v
Electrical Company: V 4 C,fler,C LL LLC_.. Office Phone: 7'011 —7/0—.�d'(y Fax:
Co.Address:p?/0T 9!-t L5, S/ S City j a cis-on0 Wt. �5tate:EL_Zip: 37_25 O
License Holder: 1.1.440!. i A JP.:: ii Stat- Certification/Registration#: EC- /2, OO'/247
Notarized Signature of License Holder / / /�
i
The foregoing instrument was acknowledged before me this J day ofZ& ,20)in the State of Florida,County of ..11.`'i-
Signature of Notary Public r�� L \�
om: °`.;tom;. JENNIFER JOHNSTON
* �i! MY COMMISSION#GG 042984 [ ] Personally Known OR[U-Vroduce Identifirtation c p
"•%Q`•o`= EXPIRES:October 27,2020 Type of Identification: r'1-_ f ,J0_,, S \A C r?nS t
F� „°P' Bonded Thru Notary Public Underwriters