36 Jackson Rd ERES20-0059 replace service cable permit s
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES20-0059
800 SEMINOLE ROAD ISSUED: 2/27/2020
ATLANTIC BEACH. FL 32233 EXPIRES: 8/25/2020
MUST CALL INSPECTION • •0, 247-5814 , PM FOR , INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONOF •
CODE, OF ATLANTIC BEACH • OF ORDINANCES .
ALL CONDITIONS OF • • 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
36 JACKSON RD ELECTRICAL RESIDENTIAL 200 amps/240 volts/first
phase - replace service cable $500.00
TYPE OF
CONSTRUCTION: NUMBER: GROUP:
172087 0000 SECTION LAND
COMPANY: ADDRESS:
SEASIDE ELECTRICAL 12620-3 Beach Blvd #235 JACKSONVILLE FL 32246
CONTRACTORS
• ADDRESS:
WATERS LOUIS 36 JACKSON RD ATLANTIC BEACH FL 32233-4320
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.
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 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: 2/27/2020 1 of 2
rs
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES20-0059
r F)
° 800 SEMINOLE ROAD ISSUED: 2/27/2020
ATLANTIC BEACH. FL 32233 EXPIRES: 8/25/2020
Issued Date:2/27/2020 2 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 aeSa 0- 00S-ci
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ecESl 9
JOB ADDRESS: 3� KSyIJ � �'�r-,��
eke PROJECT VALUE $
JEA INFORMATION REQUIRED ON ALL PERMITS: "�7 - AMPS Z40 VOLTS 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 ❑101-150amps o151-200amps ❑ amps ❑CT 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 ❑CT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT 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
EO/REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: �SpG4 e,. 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. /� I
Owner Name: �Q�I /CIA-t Phone Number:
Electrical Company: l`Ar � Oee�gccA/ C.onT ZpL Office Phone: 5-t —01- ?IF Fax:
Co.Address: t100-3 a"n VU -I:k-Z 35_ City: 1(..—State: L Zip: 322`I
License Holder: C SSS iF State Certification/Registration#: —h�3c)t 3 S
Notarized Signature of License Holder (�
The foregoing instrument was acknowledged before me this day of d 20�n the State of Florida,County of OLk 41,
Y
Signature of Nota Public
a JENNIFER.JOHNSTON g Notary
MY COMMISSION#GG 042984
*' , Personal) Known OR ro ced Ide Ification
' E:<i iRES October_7,2020 � � Y 1
";Fo, BcnderiTnruNo[aryPublicUnderwrtars Type of Identification: Di f S `l C