1855 Beach Ave ERES20-0040 Reno rt-A, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES20-0040
� , CITY OF ATLANTIC BEACH
�r ," ISSUED: 2/14/2020
800 SEMINOLE ROAD EXPIRES: 8/12/2020
`'';�'r 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:
1855 BEACH AVE ELECTRICAL RESIDENTIAL ELECTRIC - RENO $4500.00
TYPE OF I REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169723 1115 THE NAUTILUS
CONDOMINIUM
COMPANY: ADDRESS: CITY: STATE: ZIP:
A & L ELECTRICAL
CONTRACTORS 5757 HECKSCHER DR JACKSONVILLE FL 32226
OWNER: ADDRESS: CITY: I STATE: I ZIP:
MATHEWS DONNA 3292 FM 1699 AVERY TX 75554
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.
--- T
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $0.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 51 $30.60
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
Issued Date: 2/14/2020 1 of 2
.,,:is.'��� ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER> r �J� ERES20-0040 �
� r� CITY OF ATLANTIC BEACH
�" ISSUED: 2/14/2020
800 SEMINOLE ROAD
\ �`_ �� ATLANTIC BEACH. FL 32233 EXPIRES: 8/12/2020
TOTAL:$89.60
Issued Date: 2/14/2020 2 of 2
Electrical Permit Application **ALL INFORMATION
17;-:
HIGHLIGHTED IN
- City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 C IR 00.10
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT f*:
JOB ADDRESS: / X155 7,EFT L'1••{ AYE. PROJECT VALUE $ U 6-0 D
azo
JEA INFORMATION REQUIRED ON ALL PERMITS: Z°° AMPS =gwOLTS I PHASE
NEW SERVICE: 0 Overhead ®Underground Underground up Pole
❑Residential(Main)Service:
00-100 amps ❑101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service:
❑0-100 amps 0101-150amps 0151-200amps amps OCT Service amps
Conductor Type_ Size
❑Multi-Family(Main)Service:
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE:❑ amps OCT Service amps
I—I NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps ❑ amps OCT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: q6' 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
n 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
[Other:
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: p }
1M0-7\•\EWPhone Number:
Electrical Company: i i4 ).. ELEC.,t\o,L Co ffice Phone: 904 311.1 141.1.7j Fax:
Co.Address: 575.1 NECXSGt•{EC. City: kabot-W.LA 1T State: 0-- Zip:32Z7J.
License Holder: fv W t•W•-e– ✓i/ State Certification/Registration#: EC-1300°15-10
Notarized Signature of License Holder -
%
The foregoing instrument was acknowle.:ed before me th' A-f'day o l� ' t = • ate of Florida,County of
TONt GINDLESPERGER Signature of Notary Public 4,--4
�: ':*: MY COMMISSION#GG 353178
[ ]Personally Known OR [ ]Produced Identification
EXPIRES:October 6,2023 Type of Identification: QC) - -3 ) Z'• 0 I
L / "O
of ,, Bonded Thru Notary Pubic Underwriters ,