386 4TH ST - ERES20-0032 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES20-0032
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 2/7/2020
`Ji11`�r ATLANTIC BEACH. FL 32233 EXPIRES: 8/5/2020
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:
386 4TH ST ELECTRICAL RESIDENTIAL ELECTRIC PANEL CHANGE $2400.00
TYPE OF I REAL ESTATEZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169826 0050 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: EMI
Wire Nuts Inc. 11710 Faye Rd. Macclenny FL 32063
OWNER: ADDRESS: I CITY: STATE: i ZIP:
RUTKOWSKI MICHAEL C
TRUST 386 4TH ST ATLANTIC BEACH FL 32233-5344
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.
—71
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: $94.00
Issued Date: 2/7/2020 1 of 2
,� Electrical Permit Application
f` - City of Atlantic, Beach Building Department 'ALL INFORMATION
HIGHLIGHTED IN1
800 Seminole Rd, Atlantic Beach, FL 32233 GRAY IS REQUIRED.
Phone: (904) 247-5826 Email: E31-111din _De oab.us
JOB ADDRESS: 9 et qty, ,411,,,,,t,.,
N ae ri" 32,2 3 PERMIT#:
�a PROJECT VALUE$ Z_y mA
JEA INFORMATION REQUIRED ON ALL PERMITS: Zr TAMPS VOVOLTS______PHASE
Li NEW SERVICE: n Overhead ❑Underground ['Underground up Pole
•:Residential (Main) Service:
z0-100 amps 17101-150amps n151-200amps :-I am s
:Commercial(Main)Service: P #of Meters
120-100 amps ❑101 150amps n151 200amps ❑ am
or
Conductor Type_— Size amps CT Service amps
--
r-Multi-Family(Main) Service:
n0-100 amps D101-150amps 1 i1S1-200amps ❑ amps #of Unit Meters
1 TEMPORARY POLE: amps
I I SERVICE UPGRADE: n amps nCT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
n100 amps ❑150amps _i200amps c amps LCT Service amps
I I ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30am ps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
Fil OTHER ELECTRICAL PROJECTS:
:Swimming Pool bSign (-Smoke Detectors (Qty) uTransformers KVA nMotors HP
I I FIRE ALARM SYSTEM (Requires 3 sets of plans):
ty volts/amps
i • REPAIRS/MISCELLANEOUS:
TiReplace Burnt/Damaged Meter Can rlSafety Inspection wf'anel Change 1:OH to UG
'701 h e r: 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
gqpermit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
Owner Name: /►! I
-1-f�-��t___ &1l_tkQG/ShV_ ____ Phone Number: nG, G„5. !��_L____
Electrical Company:__1,,,a1.^P. A4-17-j '1 G, _._Office Phone: _fc7 41 Sql,� 4./2c7�- Fax:
Co.Address: /1 7p
y_c' ---ilet-----__-__._—________----_ City:- �g c c ic--4.4y_State:[-'l., Zip: 3L174)
license Holder: 7,4c 1i C p r w ., State Certification/Registration#: E G / 3 0.0 (S,17
Notarized Signature of License Holder tc IA e _ __
The foregoing instrument was acknow dd e�e me this 1' ,\ \
g v: day of �\�_� ,zp 2G in the State of Florida,County of 'CO V �t�-1
CHRIS ANN DAVIS Signature of Notary Public Ylr { N �r�'0
Notary Public, State of Floridd)cJ Personally Known OR 1 1 Produced Identification
My Comm. Expires 07/24/2022Type of Identification:__ _
Commission No, GG241450