475 PALMWOOD LN - ERES20-0038 S' ' ' T ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES20-0038
Jr. v 800 SEMINOLE ROAD ISSUED: 2/14/2020
ATLANTIC BEACH. FL 32233 EXPIRES: 8/12/2020
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:
475 PALMWOOD LN ELECTRICAL RESIDENTIAL ELECTRIC - NEW SERVICE $1500.00
TYPE OF REAL ESTATE I BUILDING USE
CONSTRUCTION: 1 NUMBER: ZONING: GROUP: SUBDIVISION:
172020 0194 SELVA MARINA UNIT 06
COMPANY: ADDRESS: CITY: STATE: ZIP:
ALLSTATE ELECTRICAL CTR P 0 BOX 550617 JACKSONVILLE FL 32255
INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
JOHN DODSON 475 PALMWOOD LN ATLANTIC BEACH FL 32233-5607
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
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
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:$129.00
Issued Date:2/14/2020 1 of 2
Electrical Permit Application "ALL INFORMATION
f,,, HIGHLIGHTED IN
J � City of Atlantic Beach Building Department GRAY IS REQUIRED.
�' 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 841419_wa.
JOB ADDRESS: .. IA ti's% 4 i
4�
_ PROJECT VALUE$ r.) —
JEA INFORMATION REQUIRED ON ALL PERMITS: UU AMPS I2L'VOLTS / PHASE
MiW SERVICE: 0 Overhead pl<derground ❑Underground up Pole
EIResidential(Main)Service:
00-100 amps 12101-150amps <1-200amps 0 amps #of Meters I
❑Commercial(Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service_ amps
Conductor Type Size —
®Multi-Family(Main)Service:
❑0-100 amus 0101-150amps 0151-200amps 0 amps #of Unit Meters
El TEMPORARY POLE: amps
i 1 SERVICE UPGRADE: ❑ amps OCT Service amps
I NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps ❑ amps ET Service amps
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:
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:
DReplace Burnt/Damaged Meter Can ❑Safety Inspection [Panel Change DOH to UG
atfler: 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 to violate the provisions of any other state or local law regulation construction or the performance of
construction. -- \
Owner Name: -g"—\ Phone Number: 90V-976- 611)
Electrical Company: ALLSTATE ELECTRICAL CONTRACTORS,INC Office Phone:904-296-2700 ' Fax:904-296-3471
Co.Address: 7447 SALISBURY RD City: JACKSONVILLE State: FL Zip: 322.56
License Holder: JAMES L.WILLIAMS / State Certification/Registration#: EC-000113
Notarized Signature of License Holder r j 4 514 j t2 GC// -
The foregoing instrument was acknowledged before me this /31 day of + S'a..**tie 2 !✓ in the State of Florida, County of a)V
r
Signature of Notary Public +� __
t�0.Y aoB IRISANDINO
,yy'�eerrsonally Known OR I J Produced Identification ••z° "'•.`'� Commisslon#GG 305213
ype of Identification: *
w��� Expires June 1,2023
'' OF rc°P Bonded This Budget Notary Serrket