1955 Beachside Ct ERES21-0144 13 Outlets ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r t� CITY OF ATLANTIC BEACH ERES21-0144
800 SEMINOLE ROAD
ISSUED: 6/9/2021
'&01t19', ATLANTIC BEACH. FL 32233 EXPIRES: 12/6/2021
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:
1955 BEACHSIDE CT ELECTRICAL RESIDENTIAL Electric (13 Outlets) for $1500.00
FLOOR SYSTEM
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169542 0580 BEACHSIDE
COMPANY: ADDRESS: CITY: STATE: ZIP:
WADE'S ELECTRIC SERVICE 760 Pleasure Bay Dr JACKSONVILLE FL 32225
OWNER: ADDRESS: CITY: STATE: ZIP:
JURASIC MATEO 1955 BEACHSIDE CT ATLANTIC BEACH FL 32233-5955
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.
:FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $7.80
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:$66.80
Issued Date:6/9/2021 1 of 2
Electrical Permit Application **ALL INFORMATION
�� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 Fail)) 0,14 z r
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 2( —O /.3$
JOB ADDRESS: I ei 55 .X''( ( K5Irt ', C-/- PROJECT VALUE $ f� 6O0
JEA INFORMATION REQUIRED ON ALL PERMITS: 20UAMPS 2:40 VOLTS PHASE
NEW SERVICE: Overhead ❑Underground ❑Underground up Pole
❑Residential (Main) Service:
❑0-100 amps c101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial (Main) Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ECT Service amps
Conductor Type Size
L_iMulti-Family(Main)Service:
-0-100 amps ❑101-150amps n151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
❑ SERVICE UPGRADE: amps CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps 0150amps ❑200amps amps ❑CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 13 0-30amps 31-100amps 101-200amps
Appliances: 0-30a m ps 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 Sign [[Smoke 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 nOH to UG
nOther: 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: /no /7\/7\ C u.5 _3Llnct Si Phone Number:
Electrical Company: Ltil " ,z 5 E-1'.[CC:yG ^v)CC 4e4Dffice Phone:('70 ) Si 3 ,�y3 .� Fax:
Co.Address: 7(,O ,p/e QSvCe'. ;ay DI' City: ,,a x State: FL Zip: 3,e,2z.5
License Holder: CAJOL >e. _L _ c .t,;M State Certification/Registration#: —1...300/S3 ; "
Notarized Signature of License Holder � �.
The foregoing instrument was acknowledged before me this day ofJ V N t 20 24, in the to of Florida, County of
:'i��•,''• CHRIS Signature of Notary Public .. _ L'
Y ,i' /1
TIAN GILES
MY COMMISSION#HH 117153
..,.•��.a; [ ] Personally Known OR[ Produced Identification
EXPIRES:April 13,2025N
;!+�," BonaedT Notary Pub � Type of Identification: