444 Osprey Key ERES20-0075 Add Outlet CISSUr1I... is 1
f%10 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES20-0075
�r
ED: 3/12/2020
800 SEMINOLE ROAD
"�`'j;2r ATLANTIC BEACH, FL 32233 EXPIRES: 9/8/2020
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:
444 OSPREY KEY ELECTRICAL RESIDENTIAL 200 amps/240 volts/first $150.00
phase - add outlet
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172027 5098 SELVA LAKES
COMPANY: ADDRESS: CITY: STATE: ZIP:
APPLE ELECTRIC, INC 2001 3RD ST NEPTUNE BEACH FL 32266
OWNER: ADDRESS: CITY: STATE: ZIP:
PANARO BEVERLEY A 440 OSPREY KEY ATLANTIC BEACH FL 32233
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.
„ ....r —... a ;. FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $0.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE -208 0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$59.60
Issued Date: 3/12/2020 1 of 2
j�;` ''1�;, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER1
'� ERES20-0075
CITY OF ATLANTIC BEACH
f ISSUED: 3/12/2020
800 SEMINOLE ROAD
a;i �r EXPIRES: 9/8/2020
ATLANTIC BEACH, FL 32233
Issued Date: 3/12/2020 2 of 2
Electrical Permit Application **ALL INFORMATION
Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
! 800 Seminole Rd, Atlantic Beach, FL 32233 a_L S40'- GO' c
Phone: (904) 247-5826 Email: l R S I C� 0311
'I r1 ,uliding-L)ept@coab.us
PERMIT `
JOB ADDRESS: `i `� ( 05P(L X eq 44-t4mryc t (4"PROJECT VALUE $ 1 5 0
IEA INFORMATION REQUIRED ON ALL PERMITS: 2 00 AMPS;(-46 VOLTS / PHASE
IT NEW SERVICE: 0 Overhead ❑Underground ['Underground up Pole
Otesidential (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
n TEMPORARY POLE: amps
❑SERVICE UPGRADE: ❑ amps OCT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps OCT Service amps
El-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:
C OTHER ELECTRICAL PROJECTS:
❑Swimming Pool['Sign OSmoke Detectors (Qty) ❑Transformers KVA OMotors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Jther: Updated 10/17/18
Permit becomes voidif 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. PA IU A kD
Owner Name: Phone Number:
Electrical Company: A- Pi L€ t/I'C)‘r,G L_L C Office Phone: IIq0 l -33'1.9 3-1 Fax:
Co.Address: )-00 1 24 .M City: id -+N't- JoL State: [— Zip:32Z4.L
License Holder: G_ �J ,j t,V.) State Certification/Registration#: it R /30/ <SZ 7
Notarized Signature of License Holder- cx,-...) '11, --iiiz
-
The foregoing instrument was acknowledged before me this/O+h 8 day of MA�' li ,20 Z v in the State of Florida,County of DuJgt,
'" Notary PuDlicSta�aJFlarld� Signature of Notary Public 13 Q)3 �K �^Q
Beverly K Elias
vet, ti4C,:muG 31510
[ I Personally Known OR [ ] Produced Identification
Type of Identification: