750 Sailfish Dr ERES21-0117 Replace Meter Can, Panel Change ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES21-0117
61 ISSUED: 5/5/2021
J,„� 800 SEMINOLE ROAD EXPIRES: 11/1/2021
ATLANTIC BEACH. FL 32233
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:
750 SAILFISH DR ELECTRICAL RESIDENTIAL Replace Damaged Meter $1000.00
Can, Panel Change
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: ' NUMBER: GROUP:
171205 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
DUVAL ELECTRIC LLC 2109 1ST STREET SOUTH JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
SMITH DEBORAH A ET AL 750 SAILFISH DR ATLANTIC BEACH FL 32233
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.
il
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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:$94.00
Issued Date:5/5/2021 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES21-0117
800 SEMINOLE ROAD ISSUED: 5/5/2021
-4:.u;:►�r ATLANTIC T BEFL 32233EXPIRES: 11/1/2021
BEACH.
Issued Date:5/5/2021 2 of 2
Electrical Permit Application lication **ALL INFORMATION
HIGHLIGHTED IN
i--- City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 �/ f
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: C��,) ZT-0In
JOB ADDRESS: 15-4) S0VJ f c4 D PROJECT VALUE $ k&O
JEA INFORMATION REQUIRED/ ON ALL PERMITS: Zo'Q AMPS ..24-0 VOLTS I PHASE
NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
!Residential (Main)Service:
0-100 amps o101-150amps 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 n401-150amps o151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: amps ❑CT Service amps
I I NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
100 amps ❑150amps ❑200amps 1 amps CT Service amps
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:
OTHER ELECTRICAL PROJECTS:
Swimming Pool cSign Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
i FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
X REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can ❑Safety Inspection 'anel 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.
Owner Name: /907.6t�t. 6
Q
. ,9112A?e _C Phone Number: (j IR - ZEj - LS-0
Electrical Company: b U VqI Fie c./.I.L / LLL Office Phone: 4/O 4" 9 l'Q - 3 8ey Fax:
Co.Address: /O _ .S•,a 7 1 ` City: --NX I e.-ac.j State: FL Zip: .-Z2,p$•O
License Holder: _ //� tate Certification/Registration#: E C.-- /367 0 61Z- 0 Z
"ri" lg
Notarized Signature of Lic nse Holder t vsasZAG POI-
The foregoing instrument was acknowledged before me this 5 day of n/lA ! ,20 21,in the St te of Florida,County ofVI; VA
Signature of NotaryPublic G/f'1/ /\ [/,l/p✓�`
& �^.'.' CHRISTIAN GILES
I.,; c'•17,4i
; :, MY COMMISSION#HH 117153 I [ ] Personally Known OR[.4'Proddu,.ced Identification
1 rg,= EXPIRES:April 13,2G2a Type of Identification: r'1- 0 L
P•
': :iiE° Bonded Thal Notary Public Uri a vri ere