1242 BEACH AVE - ERES20-0035 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
vi .; �� CITY OF ATLANTIC BEACH ERES20-0035
ISSUED: 2/10/2020
t 800 SEMINOLE ROAD EXPIRES: 8/8/2020
'- .013 ATLANTIC BEACH. FL 32233
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:
1242 BEACH AVE ELECTRICAL RESIDENTIAL ELECTRIC 26 FIXTURES AND $4000.00
HEAT CIRCUIT
TYPE OF a REAL ESTATE BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171828 0000 MANDALAY
COMPANY: I ADDRESS: CITY: STATE: ZIP:
B & C ELECTRICAL INC 12447 PATRICK CT JACKSONVILLE FL 32225
OWNER: t ADDRESS: CITY: I STATE: ZIP:
KING JOHN ANTHONY 1242 BEACH AVE 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 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 $5.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 26 $15.60
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:$79.60
Issued Date: 2/10/2020 1 of 2
Electrical Permit Application **ALL INFORMATION
%'s"�J �� HIGHLIGHTED IN
r'ri' City of Atlantic Beach Building Department GRAY IS REQUIRED.
r 35
' ' 800 Seminole Rd, Atlantic Beach, FL 32233 Ck Esao- ( O
``n 9''' Phone:U(904) 247-5826 Email: Buil ing-Dept@coab.us PERMIT#:ZLS /9-C 3 6 7
JOB ADDRESS: /2 -/2 ,/3-"C( ei L PROJECT VALUE$ 6,,900. U--)
JEA INFORMATION REQUIRED ON ALL PERMITS: 07,0`3 AMPS 2 ctC/OLTS /C\ PHASE
❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps D101-150amps o151-200amps ❑ amps ECT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps DCT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps DCT 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
I I REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ESafety Inspection ❑Panel Change DOH to UG
❑Other: updated l0/17/18
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: Phone Number:
Electrical Company: '$( e r76 ft. Z_ Office Phone: gUy 6.25— 76 Fax:
Co.Address: /2 %{y 7 /c./ (9'<<r:C� m.7— City: dCleiScy..ri/1� State: t-L Zip: 3?_2�
License Holder: ,Sre,,,t[ C_. Sz-ad State Certification/Registration#: ,2/f0 /2 S/-r
Notarized Signature of License Hold:(. -C4:32P.
� `t.
The foregoing instrument was acknowledged before me this j(Dday .'. , '� ' .• he State of Florida,County of
ir�:ts:'r. •iONi GINDLESPERGER Signature of Notary Publi _� �'
• .N '.•, MYCOMMISSION#GG353178 _
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'" ersonall Known ORProduced Identification
•.:� EXPIRES:October 6,2023 I Y ]
,F••;••OQ,
" OFFL,: Bonded ThruNotary Public Undevnitets Type of Identification: