320 Mealy St ERES21-0142 Service Change ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
A ':'
� v� CITY OF ATLANTIC BEACH ERES21-0142
ISSUED: 6/8/2021
800 SEMINOLE ROAD
on19%- EXPIRES: 12/5/2021
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:
320 MEALY DR ELECTRICAL RESIDENTIAL 200 AMPs service upgrade $1200.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172374 0135 MAYPORT INDUSTRIAL
PARK
COMPANY: ADDRESS: CITY: STATE: ZIP:
MCCLURE ELECTRICAL
CONTRACTORS 1521 Inverness Rd Fernandina Beach FL 32034
OWNER: ADDRESS: CITY: STATE: ZIP:
HULIHAN TERRITORY INC 1177 ATLANTIC BLVD 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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SERVICE CHANGE 455-0000-322-1000 200 $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:6/8/2021 1 of 2
: **ALL INFORMATION; Electrical Permit Application HIGHLIGHTED IN
; f' ''' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:Ern*21 OI1 /2
JOB ADDRESS: 22 Zv < w`-c` k PROJECT VALUE $ 1 C7 • O"c7
JEA INFORMATION REQUIRED ON ALL PERMITS: ' AMPS Lt� VOLTS l PHASE
NEW SERVICE: Overhead Underground D.Underground up Pole
Residential (Main)Service:
0-100 amps n101-150amps ❑151-200amps ❑ amps #of Meters
Commercial (Main) Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
oMulti-Family(Main)Service:
n0-100 amps n101-150amps ❑151-200amps ❑ amps #of Unit Meters
1 1 TEMPORARY POLE: amps
El/SERVICE UPGRADE: •✓ Zi-'c amps ❑CT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps - amps ❑CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30am ps 31-100a mps 101-200am ps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
❑Swimming Pool Sign l iSmoke Detectors (Qty) oTransformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
L REPAIRS/MISCELLANEOUS:
, ,Replace Burnt/Damaged Meter Can riSafety 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: v. ‘le.-s ti`""--) 1—(--K2,To (t Phone Number:
Electrical Company: 'M`c-y--�r--c._ C..\ �-LnN L r.- Office Phone: 1(.:,`t— 7.2).1—4-7 0 1 Fax:
Co.Address: \5-2-t 'I ti V(-ct rr S e-n• City: ft-iLt.) 6 c--.,c_(., State: r(.. Zip: 5 u ' c-
License Holder: (L-r`ccL.,n e - , State Certification/Registration#: 1✓fCc,c,o `e, ie. 8
Notarized Signature of License Holder IPIP. '. =
The foregoing instrument was acknowledg-• •efore me this �j day oft) U W r� _ 2020 2Q1, in the State of Florida,County of
, ••, Signature of Notary Public C�� c� " "` /V j4/1 \"
,;:.•••!„.. CHRISTIAN GILES
:AL MY COMMISSION#HH 117153
[ ] Personally Known OR['rProduced Identification
::`,. ... :' EXPIRES:Apri113,2025 FL- D L
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:,'0vg. ,: Type of Identification:
sonded T1wu Notary Pubic Underwriters