665 Sailfish Dr ERES21-0038 Elec remodelOWNER:ADDRESS:CITY:STATE:ZIP:
BRYCE BROWNING 665 SAILFISH DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
DEPENDENT ELECTRIC INC 8651 Feldman Rd JACKSONVILLE FL 32244
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171225 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
665 SAILFISH DR ELECTRICAL RESIDENTIAL 200 Amps, 110 Volts, 3
Phase: KITCHEN REMODEL $2000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 9 $5.40
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $7.20
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
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
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.
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.
1 of 2Issued Date: 2/17/2021
PERMIT NUMBER
ERES21-0038
ISSUED: 2/17/2021
EXPIRES: 8/16/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $75.60
2 of 2Issued Date: 2/17/2021
PERMIT NUMBER
ERES21-0038
ISSUED: 2/17/2021
EXPIRES: 8/16/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $75.60
ERES21-0038 Address: 665 SAILFISH DR APN: 171225 0000 $75.60
ELECTRICAL $71.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00
ELEC LIGHTING OUTLETS, INCLUDING
FIXTURES 455-0000-322-1000 9 $5.40
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $7.20
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R14911 $75.60
Printed: Wednesday, February 17, 2021 1:10 PM
Date Paid: Wednesday, February 17, 2021
Paid By: DEPENDENT ELECTRIC INC
Pay Method: CREDIT CARD 424468804
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14911
Electrical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL32233
Phone: (904) 247 -5826 Email : Bu i ld in g- Dept @ coa b. us
JOB ADDRESS; 665 Sailfish Dr PROJECT VALUE s $ 2,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 110 VOLTS 3 PHASE
E rrrew SERVTcE:DOverheod EUnderground flUnderground up Pole
ffiesidential (Main) Service:
E0-100 amps E1-01-150amps
ilCommercial (Main) Service:
Eo-t oo amps fltot-tsoamps
Conductor Type
E151-200amps
Etst-zooamps
Size
E-amps
[-l amps
fl-amps
.0-30a m ps
.0-60a m ps
# circuits @ kw
Number of Lighting Outlets, lncluding Fixtures: e
1
31-- 1-00a m ps
31-- 100a m ps
61- 100a m ps
10L-200a m ps
101-200a m ps
! rtnr ALARM SYSTEM (Requires 3 sets of plans):
Qty _ volts/amps
fl neenr ns/M TscELLANEoUS:
lReplace Burnt/Damaged Meter Can
Ef,ther'-
lsafety lnspection flPanel Change loH to ue
upddted 10/17/18
E orrr* ELE.TRT.AL pRoJECTS:
EswimmingPoollSignf]SmokeDetectors (Qty)fllransformers KVA IMotors HP
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT #:
# of Meters
ICT Service amps
# of Unit Meters
EMulti-Family (Main) Service:
fr-too amps Etot-tsoamps Irst-zooamps
I rrrrroRARY PoLE:amps
E srnvtcE upGRADE: !_amps ECT Service _ amps
! rurw FEEDER (ADDtnoNs, AccEssoRy srRUcruRES, ETC.):
[100 amps [t50amps [z00amps E_amps ftT Service am ps
E nootroNs, REMoDELS, REpAIRs, BUrLD-ours, AccEssoRy srRUcrURES, ETC:
Outlets/Switches:
Applia nces:
A/C Circuits:
Heat Circuits:
0-30a m ps
Permitbecomesvoidifworkdoesnotcommencewithinasixmonthperiodorworkissuspendedorabandonedforsixmonths. Iherebycertifythailhave
readthisapplicationandknowthesametobetrueandcorrect. All provisionsof lawsandordinancesgoverningthisworkwill becompliedwithwhether
specifiedornot. Thepermitdoesnotgiveauthoritytoviolatetheprovisionsofanyotherstateorlocal lawregulationconstructionortheperformanceof
construction.
Owner ruame: BryCe BrOwninq phone Number:
Electrical Company: Dependent Electric, lnc office Phone: (e04) eee-6608 Fax:
Co. Address: 8651 Feldman Rd City: Jacksonville StAtC: FL
EC-1 300941 I
7i^. 32244
License Holder:State Certification/Registration #:
Notorized Signoture of License Holder
The foregoing instrument was acknowledged bef6-re me this j k a"y
Signature of Notary Public
ill eersonally Known OR I
oll r.. Notarv Publrc State of Florida
.o-. la .tolrnda M Rowe
I f .l Mv corr,tt,on GG 166133
'tol^df ex?nes 12twt2o21
in the State of Florida, County of
I Produced ldentification
Type of ldentification :
,r{*
ERES21-0038