845 SAILFISH DR ERES20-0284 i ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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`� ERES20-0284
j ,� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 12/10/2020
°.219` ATLANTIC BEACH. FL 32233 EXPIRES: 6/8/2021
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: DESCRIPTION: VALUE OF WORK:
845 SAILFISH DR ELECTRICAL RESIDENTIAL SERVICE UPGRADE TO 150 $0.00
amp
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171245 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
ISLAND ELECTRIC OF THE JACKSONVILLE
PO BOX 50636 FL 32250
FIRST C BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
LORIN ELIETTE MARIA 1972 COLINA CT ATLANTIC BEACH FL 32233
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 SERVICE CHANGE 455-0000-322-1000 150 $50.00
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:$109.00
Issued Date:12/10/2020 1 of 2
r,..4,,r,„ Electrical Permit Application **ALL INFORMATION
�, �„ HIGHLIGHTED IN
s City of Atlantic Beach Building Department GRAY IS REQUIRED.
'' 800 Seminole Rd, Atlantic Beach, FL 32233 2 -«,.Ute, 1—
..-r Itl!P" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 6q6- s411- 6S w NI- PROJECT VALUE$ ' 000.0
JEA INFORMATION REQUIRED ON ALL PERMITS: SO AMPSZ t C.VOLTS I PHASE
❑ NEW SERVICE: jOverhead ❑Underground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Meters
❑Commercial(Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps DCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑O-100 amps E101-150amps o151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
SERVICE UPGRADE: /1St) amps ECT 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: 0-30am ps 31-100amps 101-200a m ps
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
I I FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Other: 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.
Owner Name: cO1,1 Via( L G 0.1 tJ Phone Number: 17.1 2 3 0027
Electrical Company: SL,VUb Vs, -i(L+"C Office Phone: ft/4 216 10 SS- Fax:
Co.Address: cf)`}'Z b A A4 L A)4 City: ,I•AX_ &i I State: Ft.. Zip:
License Holder: t(0 S'J U 8, Raf State Certification/Registration#: per E caw-73V
Notarized Signature of License Holder ,,; N 0 A r! +Zs '
The foregoing instrument was acknowledged before me this (O day ip .......4.-
, ' r 0 ' the State of Florida,County of
Signature of Notary Public _ F� _ A
,. •. ; TONI GINDLESPERGER
r• [ ] Personally Known OR ] Produced Identification
I_,,; '� '., MY COMMISSION#GG 353178
Type of Identification: M L
'-:". •:".".,.1:,-;:- EXPIRES:October 6,2023
' OF�U '
Bonded Thru Notary Public Underwriters