2139 Seminole Rd ERES21-0113 Elec for PP ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
i `.\ ERES21-0113
a ri CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ISSUED: 4/29/2021
ATLANTIC BEACH. FL 32233 EXPIRES: 10/26/2021
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:
Elec for PP-convert 2
2139 SEMINOLE RD ELECTRICAL RESIDENTIAL townhomes into single- $3000.00
family home
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169515 0500 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
MCCLURE ELECTRICAL
CONTRACTORS 1521 Inverness Rd Fernandina Beach FL 32034
OWNER: ADDRESS: CITY: STATE: ZIP:
Camille Adams 2139 SEMINOLE RD ATLANTIC BEACH FL 32233-5921
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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 APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $6.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $7 20
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date:4/29/2021 1 of 2
**ALL INFORMATION
Electrical Permit Application HIGHLIGHTED I
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City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.usuiPERMIT#:J yp S7/ -0)13
JOB ADDRESS: 2 7`1 S"C*^•� (-A.c O PROJECT VALUE $ 31c cc c n
JEA INFORMATION REQUIRED ON ALL PERMITS: ZetAMPS Z VOLTS I PHASE
NEW SERVICE: ❑ Overhead ❑Underground Underground up Pole
❑Residential (Main)Service:
❑0-100 amps E101-150amps 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 ❑101-150amps o151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
El SERVICE UPGRADE: amps ❑CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
��❑100amps 7150amps 200amps amps ECT Service amps
LJ� ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: Iz 0-30amps 31-100amps _ 101-200amps
Appliances: 3 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECT
[ 'Swimming Pool Sign Xmoke 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 ❑OH 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. ``l
Owner Name: L-14 �ll Yh e /cOhpS /3—e.‘",...:Ci.-vs. mac&c•' Phone Number: "51i g 2-a— {,°V5 8
Electrical Company: tt".(C- -' - tVe c-tv,.,l cp.( Office Phone: git&k- 1 SI.— 41c \ Fax:
Co.Address: %57 . I r"."...<s s CLP- City: &.ry,,r.h,onr,- 6c1.- State: 'l'l. Zip: 3203
License Holder: `C. L.,-.-,A.e State Certification/Registration#: e.I.c o b%t IL
Notarized Signature of License Holder
The foregoing instrument was acknowledgeefore me this 2_9 day ofa� A p121 L. , 20 24, in the State of Florida,County of
• : " CHRISTIAN GILES Signature of Notary Public (i a-t_ ..
• * MY COMMISSION#HH 117153
�;�4:o` EXPIRSS:April 13,2025 [ ] Personally Known OR[ oduced Identification �p
?a; o4 BorxJedTTvuNotaryPubWcUnderwriters Type of Identification: F pi"/ Vi' iif' ti ceJA