881 Beach Ave ERES20-0047 Meter Can ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES20-0047
J L 800 SEMINOLE ROAD ISSUED: 2/20/2020
.":4:0 ;1r ATLANTIC BEACH. FL 32233 EXPIRES: 8/18/2020
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:
881 BEACH AVE ELECTRICAL RESIDENTIAL METER CAN $350.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170333 0000 CLUB MANOR
COMPANY: ADDRESS: CITY: STATE: ZIP:
ALL SERVICE ELECTRIC 1556 WHITLOCK AVENUE JACKSONVILLE FL 32211
GROUP
OWNER: ADDRESS: CITY: STATE: ZIP:
PITTS PATRICIA HEAP
LIVING TRUST 881 BEACH AVE ATLANTIC BEACH FL 32233-5415
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 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: $94.00
Issued Date: 2/20/2020 1 of 2
-.�i'r�'JELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
Vis, E RES20-0047
CITY OF ATLANTIC BEACH
15 V~ 800 SEMINOLE ROAD ISSUED: 2/20/2020
fif
ATLANTIC BEACH. FL 32233 EXPIRES: 8/18/2020
Issued Date: 2/20/2020 2 of 2
•
ELECTRICAL PERMIT APPLICATION �u,c.r)I'✓� '�6,49% giei
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845 ERGS Z0 - 004
JOB ADDRESS: gay/ 134_,.-A-CH d4✓t.' PERMIT# v``tt
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS OZ-Ve,' VOLTS / PHASE
VALUE OF WORK$ 350 ----
NEW SERVICE ❑ Overhead ❑ Underground ❑i Underground up Pole
❑Residential (Main)Service
00-100 amps 0101-150amps 01 S 1-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service
Conductor Type Size amps
°Multi-Family(Main)Service 1;
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
°Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
°100 amps O 150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200mps
Ap lian"es: • 0-30amps 31-100amps 101-200 mps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool 0 Sign El Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps : VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
°Other:
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.
Property Owners Name 0 ff t C 1 A 175 Phone Number 2 y/-- 076'2?
Electrical Company A '✓,( CC�e7 f, el ;(' L .Luc. Office Phone 7VV-Va S Fax 7Y "ay,),..7
Co. Address: /575- /64;r -&& . f 45 City L%/moo on/ .g.z. tc State d Zip 32-2.-t/
License Holder(Print): -.v ,y G1( LL6-d,Q,l/ State Certification/Registration # C (tV4/u1.
Notarized Signature of License Holder <"�``
nwomyc.wATSON ' orn ands scribed before me this'`.L �• day of / ti r 20�{j
01c0 Tikcli bn f GG n6951 `xExpiresp�b ary13,2023 ature f Notary Public`% ( L� .-�'! Dyad tew1Ya/Fah Mwma$0Q4$$11t,
Cash Register Receipt Receipt Number
r City of Atlantic Beach R11784
-403!�
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $94.00
ERES20-0047 Address: 881 BEACH AVE APN: 170333 0000 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R11784 $94.00
Date Paid: Thursday, February 20, 2020
Paid By: ALL SERVICE ELECTRIC GROUP
Cashier: CT
Pay Method: CREDIT CARD 6
Printed:Thursday, February 20, 2020 2:38 PM 1 of 1