875 BONITA RD ERES21-0049 vtet
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
• i CITY OF ATLANTIC BEACH ERES21-0049
-5" ISSUED: 2/26/2021
800 SEMINOLE ROAD
.1)' ATLANTIC BEACH. FL 32233 EXPIRES: 8/25/2021
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:
857 BONITA RD ELECTRICAL RESIDENTIAL REPLACE FIXTURES AND $1900.00
SWITCHES
TYPE OF REAL ESTATE I ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171150 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: I ZIP:
Andreu & Current Electric,
11133 English Moss Lane Jacksonville FL 32257
Inc.
OWNER: ADDRESS: CITY: I STATE: I ZIP:
JOHNSON RICHARD JR & 857 BONITA RD ATLANTIC BEACH FL 32233-4228
FLOSSIE LIFE ESTATE
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 60 $36.00
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:2/26/2021 1 of 2
Electrical Permit Application **ALL INFORMATION
4-0-i,9.11-A---z-,), HIGHUGITI EO IN
City of Atlantic Beach Building DepartmentGRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 < 9
°i:'`'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 857 Bonita Rd PROJECT VALUE $$ 1,900.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
1i NEW SERVICE: 0 Overhead ❑Underground ❑Underground up Pole
dtesidential(Main)Service:
00-100 amps Q101-150amps 0151-200amps 0 amps #of Meters
DCommercial (Main)Service:
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
DMulti-Family(Main)Service:
EP-100 amps 0101-150amps D151-200amps 0 amps #of Unit Meters
n TEMPORARY POLE: amps
LI SERVICE UPGRADE: ❑ amps OCT Service amps
Li NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps ❑1S0amps 0200amps 0 amps 11T Service _ amps
U 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: 62 t(i
0 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
n REPAIRS/MISCELLANEOUS:
['Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change DOH to UG
[they:replace devices and fixtures 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: Shimi Meir / . icJrso.'\ GSI C_ S-t1 �J Phone Number: (904)962-1004
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: Emory Andreu State Certification/Registration#: EC13007524
Notarized Signature of License Holder yC
The foregoing instrument was acknowledged bef r6 a me this? l
Jay o i ) .111 2 in t e State of Florida, County of
•',1k. ,, TONI GINDLESPERGER Signature of Notary Public —� _Lj q' c
,i.
n,
.c;: MY COMMISSION#GG 353178
�r�.^�.P EXPIRES:October 6,2023 [ J Personally Known OR( J Produced Identification
:FOFF,.g: Bolded ThruNotary PuWicUnderwriters Type of Identification: L L—