647 Beach Ave ERES20-0024 Panel Change ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
.► CITY OF ATLANTIC BEACH ERES20-0024
'1/44-0141
i ISSUED: 2/4/2020
800 SEMINOLE ROAD
� ATLANTIC BEACH. FL 32233 EXPIRES: 8/2/2020
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:
647 BEACH AVE ELECTRICAL RESIDENTIAL 200 AMP PANEL CHANGE $1400.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170117 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
AMERICAN ELECTRICAL 5065 ST AUGUSTINE RD#13 JACKSONVILLE FL 32207
CONTRACTING, INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
NOVEMBER JAMES 647 BEACH AVE ATLANTIC BEACH FL 32233-5325
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.
FEES ... _ .
YlrYifa ,
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 U $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: 2/4/2020 1 of 2
`",,,from. ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER E
J r
CITY OF ATLANTIC BEACH ERES20-0024
800 SEMINOLE ROAD ISSUED: 2/4/2020
:�»� v EXPIRES: S/2/2020
ATLANTIC BEACH. FL 32233
Issued Date: 2/4/2020 2 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
JJ '," City of Atlantic Beach Building Department GRAY IS REQUIRED.
' 800 Seminole Rd, Atlantic Beach, FL 32233 a i �� _ 00 Z4
°iL Phone: (904) 247 5826 Email: Buildin Det coab.0
� jJ � 5 PERMIT#:
p�� \
JOB ADDRESS:, JIAC 4-1 11\(`p
. PROJECT VALUE$; l
JEA INFORMATION REQUIRED ON ALL PERMITS:iiDO AMPS 20VOLTS, I PHASE
❑ NEW SERVICE: 0 Overhead ❑Underground Underground up Pole
I_Residential(Main)Service:
❑0-100 amps 13101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE:❑ amps OCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 1:1200amps 0 amps OCT 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:
0 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: QQ[[
❑Replac Burnt/Damaged Meter Can afety Inspection ( panel Change DOH to UG
tether:
ppCrr ij ��eL C 's ,olz, �V'�v 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. Th opermit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. V 1 YY, Now S o R1(34:10.-3-
1( /t _ o n 41
Owner Name:� 4� � 1�p y r �,Ph/�one Num-b-ler.'��(� �J "j
Electrical Company:A I► it.C%C Cr- cliet�V1(A\ Office Phone:LgO4 1� f"111c Fax:
Co.Address:,501,6 a4 P .JJ.L 4il1t City:I da.fik. State: Zip:1 322Q'
License Holder:, 4 S�)a
�` c
‘71('_X— State Certification/Registration#:ieC.13Q0`]31`
Notarized Signature of License Holder, Tom( 7r,e44'• ��yy �\
The fore:.i : .1 . •• • • : •swledged before me this30_ ay'oI,/�/�,ff b ,2020 in the State of Florida,County of V.�\
Notary Pub4c Stave of Donde
4+ Angel N Brooke nature of Notary Public
MY
Cc'mmisawn V Zpgg14
+ a� fixplras tat7rzo22 Personally Known OR[ j Produced Identification
ype of Identification:
4s4 Cash Register Receipt Receipt Number
Jrsr , City of Atlantic Beach R11639
4Daio/
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $94.00
ERES20-0024 Address: 647 BEACH AVE APN: 170117 0000 $94.00
1
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: R11639 $94.00
Date Paid: Tuesday, February 04, 2020
Paid By: AMERICAN ELECTRICAL CONTRACTING, INC.
Cashier: FJ
Pay Method: CREDIT CARD 1
Printed:Tuesday, February 04, 2020 8:36 AM 1 of 1