352 5th St ERES21-0014 Porch Enclosure t"''fl ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
j ERES21-0014
CITY OF ATLANTIC BEACH
� 800 SEMINOLE ROADISSUED: 1/22/2021
ATLANTIC BEACH, FL 32233 EXPIRES: 7/21/2021
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.
;g JOB` DDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
352 5TH ST ELECTRICAL RESIDENTIAL ELECTRICAL PORCH $3000.00
ENCLOSURE
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169840 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
LPHA ELECTRIC OF PONTE 299 RANCH RD PONTE VEDRA FL 32081
VEDRA
OWNER: ADDRESS: CITY: i STATE: ZIP:
PARKER EDWARD S JR 352 5TH ST ATLANTIC BEACH FL 32233-5346
NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If`
'OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
OUST 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
tECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 20 $12.00
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:$71.00
Issued Date: 1/22/2021 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER I
(. __. ERES21-0014
CITY OF ATLANTIC BEACH ISSUED: 1/22/2021
� 800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233
EXPIRES: 7/21/2021
Issued Date:1/22/2021 2 of 2
CCS E- L CC (4
-t=AIN., pp
Electrical Permit Application **ALL INFORMATION
- HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
' " 800 Seminole Rd, Atlantic Beach, FL 32233 / 1.5A\.. -- tO
"'s`'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 352 S-11 S---r— PROJECT VALUE$ 3o oz
/ ..
JEA INFORMATION REQUIRED ON ALL PERMITS: ?Di") AMPS o2`tb VOLTS / PHASE
1 I NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps D101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps ECT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑0-100 amps 111101-150amps o151-200amps D amps #of Unit Meters
n TEMPORARY POLE: amps
0 SERVICE UPGRADE: ❑ amps DCT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
I I ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 2p 0-30amps 31-100amps 101-200am ps
Appliances: 0-30amps 31-100amps 101-200am ps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
1 1 OTHER ELECTRICAL PROJECTS:
❑Swimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
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
LiOther: 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: P e r t Phone Number:
Electrical Company:ny^ f jjh �( c C..-
4* Office Phone: U4f'l '/73 �92� Fax:l
Co.Address: d l ( .(4.--,--,--.1.._ City: ()NAG- V&P State: 1( Zip:
License Holder: _ r-\G I�IJ lA/t-NG cJ l�—' ., ,:4'.te Certification/Registration#:�� & 2
Notarized Signature of License Holder i�n� /i.
The foregoing instrument was acknowledged before me thi Z,da • A Q ,22 f, in the State of Florida,County of
Signature of Notary Publi 0
''fl;iC TON!GINDLESPERGER
' " „; ''•,: MY COMMISSION#GG 353178 [ ] Personally Known OR[ ] Prod I entificat'
�.��-.;o tXa'iRES:Cctober6 r °23 Type of Identification:
-"::*wq" 8c7,d,1i Thru Notary Public Underwriters