1986 W Sevilla Blvd ERES21-0197 Elec Enclose Porch ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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_ CITY OF ATLANTIC BEACH
ERES21-0197
800 SEMINOLE ROAD ISSUED: 8/10/2021
ATLANTIC BEACH. FL 32233 EXPIRES: 2/6/2022
MU A LINSP I•.z • i Or- INE (904) ",' =' $1,`BY 4 P { .FOR NEXT DAY INSPECT ON.
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: 1 PERMIT TYPE: I DESCRIPTION: VALUE OF WORK:
1986 W SEVILLA BLVD ELECTRICAL RESIDENTIAL Elec for ENCLOSE PORCH, $2500.00
WINDOWS AND STUCCO
TYPE OF € REAL ESTATE ` BUILDING USE
CONSTRUCTION: NUMBER: ZONING: i GROUP: SUBDIVISION:
169462 0400 SEVILLA GARDENS UNIT
02
COMPANY: ADDRESS: . CITY: i STATE: I ZIP:
RIVER CITY ELECTRIC 12496 Gately Oaks Ln JACKSONVILLE FL 32225
CONTRACTORS, INC.
OWNER: ADDRESS: I CITY: , STATE: ZIP:
HANSEN NIELS 1986 SEVILLA BLVD W ATLANTIC BEACH FL 32233-4578
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.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
I rmirmr
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 $1.80
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $3.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date:8/10/2021 1 of 2
Electrical Permit Application **ALL INFORMATION
•�'' �� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
'I 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 2/ Do i�
JOB ADDRESS: �`M6; l.t' 4 , Q 2 '//c i? 2JPROJECT VALUE $ a-5-00
JEA INFORMATION REQUIRED ON ALL PERMITS: (' .AMPS) e-C\/OLTS ! PHASE
IT NEW SERVICE: ❑Overhead ❑Underground ['Underground up Pole
OResidential (Main)Service:
00-100 amps D101-150amps 0151-200amps 0 amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps 0101-150amps D151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
n TEMPORARY POLE: amps
El SERVICE UPGRADE: ❑ amps OCT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps D200amps 0 amps ❑CT Service amps
Er
l�J ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: _4" 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps - 31-100amps 101-200amps
A/C Circuits: ( 0-60amps 61-100amps
Heat Circuits: # circuits @ kw 3
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
:Swimming Pool Sign rismoke 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 DOH to UG
Dither: 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. J,/,
Owner Name: /V /S #a/7 'je(/ Phone Number:
Electrical Company: ROO cC+•' % E27ectr,‘cu.( Office Phone: qaq — 3 g - '2v x: X
Co.Address: (2J1 6 (Oce y 6,62-K-z ( 6,62-KS L/[. L= ? City: v�,C State: /C-e- Zip: 3/7\7 2,j
License Holder: c r' State ertification/Registration#: 6�C /3 OD 602/
Notarized Signature of License Holder ev/______/ 0/17_ ��
The foregoing instrument was acknowl&.:•. before e this le day of Aub VST , 20 211, in the State if Florida,County of OUV/4
- G�rrh� l,-
Signature of Notary Public � .) `
...9.*::,, CHRISTIAN GILES
as ,,; MY COMMISSION#HH 117153 [ ] Personally Known OR[ roduced Identification
2, ;or
, EXPIR6S:Apri113,2025 Type of Identification: FL O(�
••'�os n;•' Bonded Nu Notary PubUc Undar*t sqs