838 Ocean Blvd ERES20-0052 Safety r''% ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
\ ERES20-0052
CITY OF ATLANTIC BEACH ISSUED: 2/21/2020
�, V 800 SEMINOLE ROAD
:),- - ATLANTIC BEACH. FL 32233 EXPIRES: 8/19/2020
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:
838 OCEAN BLVD ELECTRICAL RESIDENTIAL ELECTRIC SAFETY $375.00
INSPECTION
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170339 0000 PARK TERRACE
COMPANY: ADDRESS: CITY: STATE: ZIP:
AMERICAN ELECTRICAL 5065 ST AUGUSTINE RD #13 JACKSONVILLE FL 32207
CONTRACTING, INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
PARKS SCOTT B 838 OCEAN BV ATLANTIC BEACH FL 32233-5430
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
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
Issued Date: 2/21/2020 1 of 2
A
'f., ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r. AP7400"10
CITY OF ATLANTIC BEACH ERES20-0052
u " ISSUED: 2/21/2020
r j , 800 SEMINOLE ROAD EXPIRES: 8/19/2020
ATLANTIC BEACH. FL 32233
Issued Date: 2/21/2020 2 of 2
rJrl+�
�3 � Cash Register Receipt Receipt Number
o =1 City of Atlantic Beach R11800
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $109.00
ERES20-0052 Address: 838 OCEAN BLVD APN: 170339 0000 $109.00
ELECTRICAL $105.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
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: R11800 $109.00
Date Paid: Friday, February 21, 2020
Paid By: AMERICAN ELECTRICAL CONTRACTING, INC.
Cashier: CT
Pay Method: CREDIT CARD 12
Printed: Friday, February 21,2020 3:43 PM 1 of 1
800 Seminole Rd, Atlantic Beach, FL 32233 GRAY IS REQUIRED.
n
Phone: (904) 247-5826 Email: Building-Dept@coab.us I\PERMIT#:#C�--(_ J z
JOB ADDRESS: 838 Ocean Blvd PROJECT VALUE $$ 375.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200AMPS 240 VOLTS 1 PHASE
NEW SERVICE: ElOverhead ['Underground DUnderground up Pole
❑Residential (Main) Service:
00-100 amps 0101-150amps 0151-200amps 0 amps # of Meters
❑Commercial (Main) Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amp
Conductor Type Size
OMulti-Family (Main) Service:
❑0-100 amps 0101-150amps 0151-200amps El amps # of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps OCT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps 0150amps ❑200amps ❑ amps ❑CT Service amps
U ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30a m ps 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
V REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can OSafety Inspection panel Change ❑OH to UG
Updated 10/17/1
[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 hz
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 whethe
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
construction. 604 907-0122
Owner Name: Scott Parks Phone Number: )
Electrical Company: American Electrical Contracting Inc Office Phone: (904)737.7770 Fax:
Co. Address: 5065-3 St Augustine Rd City: Jacksonville State: FL Zip: 32207
License Holder: Earl W Frick �f State Certification/Registration #: EC13007311
Notarized Signature of License Holder c -
The foregoing instrument was acknowledged before me this 7I j day of r$bittal , 20)20, in the State of Florida, County of�ul)(
Y
ice_i'
Signature of Notary Public // /
l �,►P� Notary Public State of Florida
i Veronica O Springett
.% , My Commission G2G 908787 Personally Known OR [ ) Produced Identification
y?a„ Expires 08/22/2023 Type of Identification: