487 Royal Palms Dr ERES21-0222 Serv Upgrade, Remodel ,:,,,,:,!..,14----, ` ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
::,i.
CITY OF ATLANTIC BEACH ERES21-0222
V~ 800 SEMINOLE ROAD ISSUED: 9/17/2021
•
=i}9r ATLANTIC BEACH. FL 32233 EXPIRES: 3/16/2022
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:
487 ROYAL PALMS DR ELECTRICAL RESIDENTIAL Electric for: ADD BATHROOM
$6000.00
& REMODEL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171484 0000 ROYAL PALMS UNIT
02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
B & C ELECTRICAL INC 12447 PATRICK CT JACKSONVILLE FL 32225
OWNER: ADDRESS: CITY: STATE: ZIP:
AMANNA SERVICES LLC 487 ROYAL PALMS DR ATLANTIC BEACH FL 32233-3925
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 AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
ELEC APPLIANCES FIXED OR STATIONERY 455 0000-322-1000 0 $8.00
ELEC HEAT 455-0000-322-1000 0 $2.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 10 $6.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
Issued Date:9/17/2021 1 of 2
Sr'''`le ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
=-• '+` ERES21-0222
CITY OF ATLANTIC BEACH
01 V' 800 SEMINOLE ROAD ISSUED: 9/17/2021
.P- r:»* ATLANTIC BEACH, FL 32233 EXPIRES: 3/16/2022
ELEC SERVICE CHANGE 455-0000-322-1000 150 $50.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $30.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.87
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$195.87
Issued Date:9/17/2021 2 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 Ere$21 -a 22.2,
Phone: (904) 247-5826 Email: Bu)lding-Dept@coab.us PERMIT#: �C.SvC/—007L
JOB ADDRESS: , . •, . ./ /YLS Zr, PROJECT VALUE $ c::(/ OCA u-
JEA INFORMATION REQUIRED ON ALL PERMITS: /5 AMPS D!`EU VOLTS / PHASE
NEW SERVICE: ❑ Overhead L-Underground :Underground up Pole
Residential (Main)Service:
0-100 amps 7:101-150amps 7_151-200amps ❑ amps #of Meters
Commercial (Main) Service:
=0-100 amps =101-150amps ❑151-200amps ❑ amps 1.-CT Service amps
Conductor Type Size
_Multi-Family(Main) Service:
-0-100 amps -101-150amps 7151-200amps _ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: /5'6 amps -:CTService amps
fl NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
=100 amps =.150amps ❑200amps amps -CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: SO 0-30amps 31-100amps 101-200am ps
Appliances: ! 0-30amps 31-100amps 101-200amps
A/C Circuits: ( 0-60amps 61-100amps
Heat Circuits: I # circuits @ kw
Number of Lighting Outlets, Including Fixtures: /0
OTHER ELECTRICAL PROJECTS:
Swimming Pool ❑Signoke Detectors q (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 EON to UG
❑Other: l S (^L 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 doe not give authority to viol=te the provisions of any other state or local law regulation construction or the performance of
construction.
Owner Name:_ -"ova. .- -u'C,r' ZZ. e
Phone Number:
Electrical Company: 3e,-C._ Ffr"t7 it' L Office Phone: coy 625-7L. 6,5 Fax:
Co. Address: 702 414-(7 'Pc.,-/yr/ eT City: C )Ge CCs vla d StaterL Zip:J;r? '.-2J
License Holger: ,Zrof( (7 &'c.��7J� State Certification/Registration#: /J?(30 l02SLS
I"
Notarized Signature of License Holler----
The fore oin instrument was acknowledged before me th s II/ day . SbE-r , 2021 , in the Stat o /ofFlorida,County of ovVAL
.; t�`*.—: CHRISTIAN GILES Signature of Notary Public G/�i� [i(J�� --/l%• (/'�t
:,: !l! .,, MY COMMISSION#HH 117153
MI
%-4"!iL;d;' EXPIRES:ApriI13,2025 � � Personal) Known OR
'•�O"r`OP BondedTtvuNotaryPr�licUnderwriters y [v}'(roduced Identification
Type of Identification: FL. I:2-i—