805 PLAZA ERES21-0027 ri ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES21-0027
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 2/9/2021
;�;:»r ATLANTIC BEACH, FL 32233 EXPIRES: 8/8/2021
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:
805 PLAZA ELECTRICAL RESIDENTIAL SERVICE UPGRADE 150 $1900.00
AMPS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171115 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
Andreu & Current Electric, 11133 English Moss Lane Jacksonville FL 32257
Inc.
OWNER: ADDRESS: CITY: STATE: ZIP:
AUGUSTINE MI YOUNG LEE 805 PLAZA ATLANTIC BEACH FL 32233-3809
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:2/9/2021 1 of 2
', , ,tw,Ir , Electrical Permit Application **ALL INFORMATION
.,, HIGHLIGHTED IN
( ' , City of Atlantic Beach Building Department_olGRAY IS REQUIRED.
l %I 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 805 Plaza Rd PROJECT VALUE $$ 1,900.00
�-7 JEA INFORMATION REQUIRED ON ALL PERMITS: 100 AMPS 240 VOLTS 1 PHASE
I I NEW SERVICE: 0 Overhead ❑Underground DUnderground up Pole
DResidential (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial (Main) Service:
❑0-100 amps 1:1101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
DMulti-Family(Main)Service:
03-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
EJ SERVICE UPGRADE: 0150 amps OCT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps ❑iSOamps ❑200amps 0 amps IT Service amps
O ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100anmps 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
n 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 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: James Augustine Phone Number: (904)716-5774
Electrical Company: Andreu&Current Electric, Inc. Office Phone: (904)813-2605 Fax:
Co.Address: 4674 Great Western Ln S. City: Jacksonville State: Fl Zip: 32257
License Holder: Emo Andreu / State Certification/Registration#: EC-13007524
Notarized Signature of License Holder �/
_ r (
The o e;oin; instrument was acknowledged before me this (—r da s . Pk o . lin the Slate of Florida, County of
?� "yV,s. TONI GINDLESPERGER , ignature of Notary Pus is
iti • ,, MY COMMISSION#
GG 353178 ,
"�r!:►`�°" EXPIRES:October 8,2023
.f•.••oP; Bo�ThnNo ] Personally Known OR[ J Produced Identification
'.aF F�.••.•
Notary ype of Identification: T� •