14 N Saratoga Cir ERES20-0067 Safety ,,.,: !..:-1;77'4;, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
' ` � ERES20-0067
� CITY OF ATLANTIC BEACH
<r ISSUED: 3/13/2020
800 SEMINOLE ROAD
A.0.219.- ATLANTIC BEACH. FL 32233 EXPIRES: 9/9/2020
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:
14 N SARATOGA CIR ELECTRICAL RESIDENTIAL SAFETY INSPECTION $0.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171815 0000 ATLANTIC BEACH VILLA #
02
COMPANY: ADDRESS: CITY: STATE: ZIP:
ERICKSON ELECTRICAL 2807 ST JOHNS JACKSONVILLE FL 32246
CONTRACTOR
OWNER: ADDRESS: CITY: STATE: ZIP:
ELLINGTON CYNTHIA ET AL C/O STEVE ELLINGTON 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.
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: 3/13/2020 1 of 2
i��%�� ELECTRICAL RESIDENTIAL PERMITPERMIT NUMBER'„ ERES20-0067
%-• �� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 3/13/2020
`%`''; 9r ATLANTIC BEACH. FL 32233 EXPIRES: 9/9/2020
I
Issued Date: 3/13/2020 2 of 2
W! a rf
' -4.11.'--4-: -''' lii
a Cash Register Receipt Receipt Number
City of Atlantic Beach R11989
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $109.00
ERES20-0067 Address: 14 N SARATOGA CIR APN: 171815 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: R11989 $109.00
Date Paid: Friday, March 13, 2020
Paid By: ERICKSON ELECTRICAL CONTRACTOR
Cashier: FJ
Pay Method: CREDIT CARD 7
Printed: Friday, March 13, 2020 3:26 PM 1 of 1
Electrical Permit Application **ALL INFORMATION
� �� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 LRCS Z -- 006,7
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: I y S Afr'1- 1--6'` G I)R J PROJECT VALUE $ aCIGO '
JEA INFORMATION REQUIRED ON ALL PERMITS: a00 AMPS ` I-R) VOLTS 1 PHASE
NEW SERVICE: :i Overhead ❑Underground ❑Underground up Pole
❑Residential (Main) Service:
70-100 amps n101-150amps E151-200amps ❑ amps #of Meters
❑Commercial (Main) Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps ECT Service amps
Conductor Type Size
r iMulti-Family(Main) Service:
0-100 amps n101-150amps n151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
❑ SERVICE UPGRADE: amps HCT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps i 150amps i 1200amps ri amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: I t 0-30amps 31-100amps 101-200amps
Appliances: 3 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:
i iSwimming Pool ,Sign ❑Smoke Detectors (city) Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
YREPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can afety Inspection ❑Panel Change DOH 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: L L L 1 NI GrO tJ Phone Number: .gi i - yLya•
Electrical Company: L=gI LlZ5r.)r,J < c(–RI CAL. Office Phone: 41 Lj I-J(/a Fax:
Co.Address: I ' -o a3 GL1J[-AN ri Cr City: -.144 State: f=L- Zip:333C°
License Holder: CL 1-A-NJ K ''I 1 cit go:�I .4/ State Certification/Registration#: r(onp I .b
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this_3day of Pik r_ jk 2 A ,in th• St.te of Florida,County of
I TONI GINDLESPERGER Signature of Notary PubfZ— ` / •
I'.' MY COMMISSION#GG 333178 I
l`•: [ I Personally Known OR[ ] Produce Identification
EXPIRES:October 6,2023
%; c,. Type of Identification:
•;or.,°; Bonded ThruNotary Public Undenvriters YP
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