315 2nd St ERES19-0211 Elec Remodel ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r CITY OF ATLANTIC BEACH ERES19-0211
800 SEMINOLE ROAD
ISSUED: 7/17/2019
EXPIRES: 1/13/2020
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' DA 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:
315 2ND ST ELECTRICAL RESIDENTIAL ELECTRIC REMODEL- 12 $1000.00
FIXTURES
TYPE OF
ZONING: :D •
• • GROUP:
169779 0010 ATLANTIC BEACH
COMPANY: ADDRESS:
RIVER CITY ELECTRIC INC 2825 HOLLYBAY RD ORANGE PARK FL 32073
• ADDRESS:
DSM RENOVATIONS LLC 1433 PONTE VEDRA BLVD PONTE VEDRA FL 32082
BEACH
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
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 12 $7.20
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208700 0 $2.00
TOTAL: $66.20
Issued Date:7/17/2019 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 E R L S( 9 , o L t (
.TOB ADDRESS: . / PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 7-00 AMPS 4A4 0 VOLTS / PHASE
VALUE OF WORK$ 1 UUe , 0-
NEW SERVICE ❑ Overhead ❑ Underground Of Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps - 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: // 0-30amps 31-100amps 101-200amps
Appliances: I 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: /L
OTHER ELECTRICAL PROJECTS
0Swimming Pool ❑ Sign ❑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 ❑OH to UG
❑Other:
?ermit 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
•ead 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
:onstruction. fn n Q
'roperty Owners Name t" V V \ ' ` fav R7c ON-S
Phone Number
,lectrical Company `/ Office Phone `9f-6L7� Fax
;o.Address: ZV Ls 14;471' City D ep- Stated Zip 32d?3
,icense Holder(Print): \-.— ,�_ C_uJ� State rtification/Registration# EC5�g
Totarized Signature o Lic a _
F-lizKITTY COOK
t,
otary Public-Stateof Flor�� rem iS /� day of 20Commission#FF 920346
y Comm.Expires Jan 15,2ature of Notary Pub
onded through Nations Notary Assn.
�11J
a rt lJ�
r
ReceiptCash Register Receipt • '
1. s�
City of
Atlantic
DESCRIPTION
ACCOUNT CITY PAID
PermitTRAK $110.00
ERES19-0211 Address: 315 2ND ST APN: 169779 0010 $55.00
ELECTRICAL FINAL"11/22/2019 RBE $55.00
ELECTRICAL FINAL" 11/22/2019 RBE 455-0000-322-1002 0 $55.00
RES19-0199 Address: 315 2ND ST APN: 169779 0010 $55.00
BUILDING FINAL"11/22/2019 RBE $55.00
BUILDING FINAL" 11/22/2019 RBE 1 455-0000-322-1002 0 $55.00
TOTAL
$110.00
Date Paid: Tuesday, November 26, 2019
Paid By: DSM RENOVATIONS LLC
Cashier: CT
Pay Method: CREDIT CARD 05652G
010
Printed:Tuesday, November 26, 2019 4:19 PM 1 of 1 j