812 CAVALLA RD ERES21-0003 rs ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES21-0003
ISSUED: 1/7/2021
800 SEMINOLE ROAD
�`0r319'' ATLANTIC BEACH, FL 32233 EXPIRES: 7/6/2021
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.
JOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
hat may be found in the public records of this county, and there may be additional permits required from other
:overnmental entities such as water management districts, state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: I VALUE OF WORK:
812 CAVALLA RD ELECTRICAL RESIDENTIAL REPLACE MAIN BRAKER AND $1000.00
ENCLOSURE
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171717 0080 ROYAL PALMS UNIT
02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
BEACHES ELECTRIC GREEN COVE
214 COKESBURY CT FL 32043
SERVICES INC. SPRINGS
OWNER: ADDRESS: CITY: STATE: ' ZIP:
WILBURTH JOHN S 13825 BELLA RIVA LN JACKSONVILLE FL 32225-
NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT I1\
'OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
✓IUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
ECORDING YOUR NOTICE OF COMMENCEMENT.
toll 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
Issued Date: 1/7/2021 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
_. CITY OF ATLANTIC BEACH ERES21-0003
c,,,,_
ISSUED: 1/7/2021
t
9'''
800 SEMINOLE ROAD EXPIRES: 7/6/2021
�` ATLANTIC BEACH, FL 32233
TOTAL:$94.00
Issued Date:1/7/2021 2 of 2
r,, Electrical Permit Application **ALL INFORMATION
/; HIGHLIGHTED IN
! ` City of Atlantic Beach Building Department GRAY IS REQUIRED.
I: I
/2 800 Seminole Rd, Atlantic Beach, FL 32233 i` Z i _ (-.x,(- 3
'`✓` Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 812 Cavalla Rd, Atlantic Beach, FL 32233 PROJECT VALUE $$ 1,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 125 AMPS 240 VOLTS 1 PHASE
El NEW SERVICE: El Overhead ❑Underground ❑Underground up Pole
DResidential (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
ElMulti-Family(Main) Service:
00-100 amps 0101-150amps 0151-200amps 0 amps # of Unit Meters
El TEMPORARY POLE: amps
lIl SERVICE UPGRADE: ❑ amps OCT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
O 100 amps 0150amps 0200amps ❑ amps OCT Service amps
❑ 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:
n OTHER ELECTRICAL PROJECTS:
Swimming Pool Sign ❑Smoke Detectors (Qty) ['Transformers KVA ❑Motors HP
1 FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
6E-1,a_O-keSL—leojr-c
n REPAIRS/MISCELLANEOUS: ke; �(►',,,I.A
❑Replace Burnt/Damaged Meter Can DSafety Inspection OPanel Change ❑OH to UG c.,C \
✓❑Jther:Need to remove JEA lock to relace bad main breakere and enclosure 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: John Wilburth Phone Number: (904)813-9723
Electrical Company: Beaches Electrical Service Inc. Office Phone: (904)629-3182 Fax:(904)403-0603
Co.Address: 214 Cokesbury Ct. City: GCS State: FL Zip: 32043
License Holder: Todd Lockwood State Ce ' ation/Registration#: EC13009644
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Notarized Signature of License Holder /c= �►
The foregoing instrument was acknowledged before me this ' d�� D—r\ , : -1 the State of Florida, County of
Signature of Notary Public _9_ '_'
;o<"•a° '' TONI GINDLESPERGER •ersonally Known OR [ ] Produced Identification
t „= MYCOMMISSION#GG353178T ,e of Identification:
°:y. '� EXPIRES:October 6,2023
" P`.°c Bonded Thru
� � Notary Public Underwriters