354 Sargo Rd ERES20-0274 Replace Meter Can �`'-'44. ,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
s , ;
rERES20-0274
5 v, CITY OF ATLANTIC BEACH ISSUED: 11/23/2020
srto 800 SEMINOLE ROAD
`os3 v. ATLANTIC BEACH, FL 32233 EXPIRES: 5/22/2021
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: I DESCRIPTION: VALUE OF WORK:
354 SARGO RD ELECTRICAL RESIDENTIAL 150 amps/240 volts/first $900.00
phase - replace meter can
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171687 0000 ROYAL PALMS UNIT
02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
Jimmy's Electric LLC 526 11th Avenue North Jacksonville Beach FL 32250
OWNER: ADDRESS: CITY: I STATE: I ZIP:
SCHIFFMAN STEVEN D 354 SARGO RD ATLANTIC BEACH FL 32233-3814
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II`
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 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: 11/23/2020 1 of 2
—.414 jr, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
„r �' ERES20-0274
� . CITY OF ATLANTIC BEACH
\r4
800 SEMINOLE ROAD
ISSUED: 11/23/2020
'''ss~ ATLANTIC BEACH. FL 32233 EXPIRES: 5/22/2021
Issued Date:11/23/2020 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 S
LI
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: GQ-ES3O -oc) (
JOB ADDRESS: -gS q- 3.Cc 6t�-A PROJECT VALUE $ C)(L .
JEA INFORMATION REQUIRED ON ALL PERMITS: 1, AMPS 24() 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:
❑O-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps o101-150amps I X151-200amps El amps #of Unit Meters
n TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps ❑CT Service amps
I I NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps ❑150amps 1i200amps ri amps ❑CTService amps
I I ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100am ps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
I I OTHER ELECTRICAL PROJECTS:
riSwimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
�[ Qty _ volts/amps
j([ REPAIRS/MISCELLANEOUS:
1eplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
/(41Other: 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 authorityrinto violate the provisions of any other state or local law regulation construction or the performance of
construction. 5-re.. 1\P1u l.11—�lh � ecf e L
Owner Name: -� Phone Number: 35--
El e ctri cal
.5--Electrical Company: k AA- ' - • ' '(C- Office Phone: q �g 7 Fax:
Co.Address: S----.22_(‘) 1 fl -a-k'— r City: y. /ec-t--- State: fr Zip: 322 )
License Holder: 3P.1A" e S- H-4-e1J ft 6 State Certification/Registration#: ,G'7.p(&2 �
Notarized Signature of License Holder
The foregoing instrument was ackno ledged beforee this�-1ay of ► _ 2a0 in the State of Florida,County of OulIJ t i
4;s< u JENNIFER Signature of Notary Public ', �,�_�
.� , MY COMMISSION#IFI 057579
fir.•.:; EXPIRES:October 27,2024 [ I Personally Known OR[ roduced I entification 1
, !,:�°`:' Bonded ThruNomry '"" 's Type of Identification: F L- L( 1 td a-y` S `.(. e_11.\-e-
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