715 Amberjack Ln ERES20-0029 service upgrade permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
•� �� CITY OF ATLANTIC BEACH
ERES20-0029
800 SEMINOLE ROAD ISSUED: 2/5/2020
"Jf3�r ATLANTIC BEACH. FL 32233 EXPIRES: 8/3/2020
MUST CALL INSPECTION iNE LINE (904) 2, . BY . PM FOR . INSPECTION.
CODE,ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
' OF • 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:
715 AMBERJACK LN ELECTRICAL RESIDENTIAL 200 amps/240 volts/first $1000.00
phase - service upgrade
TYPE OF
ZONING: :D •
CONSTRUCTION: NUMBER: GROUP:
171194 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY:
CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266
• ADDRESS:
TAYLOR MEREDITH 715 AMBERJACK LN ATLANTIC BEACH Fl 32233
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 • •
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 SERVICE CHANGE 455-0000-322-1000 200 $50.00
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:$109.00
Issued Date: 2/5/2020 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
,� yr CITY OF ATLANTIC BEACH ERES20-0029
800 SEMINOLE ROAD ISSUED: 2/5/2020
ATLANTIC BEACH, FL 32233 EXPIRES: 8/3/2020
Issued Date:2/5/2020 2 of 2
ALL
Electrical Permit Application HIGHLIGHTED IN
,
HIGHUGHTEt3IN
City of Atlantic Beach Building Department GRAY ISOREQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMITM `-6- eSaO 'CCO'c
JOB ADDRESS: 2Z33PROJECT VALUE $ QQ( -
o �
JEA INFORMATION REQUIRED ON ALL PERMITS:_j AMPS 240 VOLTS , ,PHASE
NEW SERVICE: 13 Overhead [3Underground []Underground up Pole
Mesidential (Main)Service:
❑0-100 amps [3101-150amps [3151-200amps amps #of Meters
Mommercial (Main)Service:
❑0-100 amps [3101-150amps 11151-200amps ❑ amps []CT Service amps
Conductor Type Size
[3Multi-Family(Main)Service:
❑0-100 amps [3101-150amps ❑151;200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps []200amps 0 amps CICT 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
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Dther: updated 10/17118
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. D
Owner Name: to y- Phone Number:
Electrical Company: ( nIt 400 � - `T Fax:
Co.Address: it
State: jC5(_ Zip:
License Holder: e Certification/Registration#: 3�a � ��'
Notarized Signature of License Holder
e4/ed before me this_r da of , 20?b i ..the State of Florida, County ofJILLIAN WALKER
coq,
NNt Myr
'� = MY COMMISSION IGG008111 Signature of Notary Publ'
EXPIRES:June 27,2020
BMW TlwNotary PublicUnderwriters Personally Known OR [ Produced Identification
Type of Identification: