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1721 ATLANTIC BEACH DR - ERES20-0070 „,:o-i'' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER c iri. z '; ERES20-0070 � ,, �, CITY OF ATLANTIC BEACH `�� ISSUED: 3/9/2020 ”` \""" 800 SEMINOLE ROAD ��0;11'r ATLANTIC BEACH, FL 32233 EXPIRES: 9/5/2020 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: 1721 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL NEW ELECTRIC- 400 AMPS $12000.00 TYPE OF REAL ESTATE ZONING: ; BUILDING USE SUBDIVISION: CONSTRUCTION: I NUMBER: GROUP: 169505 1435 ATLANTIC BEACH COUNTRY CLUB UNIT 02 COMPANY: ' ADDRESS: I CITY: i STATE: ZIP: PAGEMASTERS ELECTRICAL 45102 MUSSLEWHITE RD CALLAHAN FL 32011 INC OWNER: I ADDRESS: I CITY: STATE: ZIP: GREGORY A NELSON 523 SELVA LAKES CIRCLE ATLANTIC BEACH FL 32233 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN 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. . ,'„,'W,'-';',., E 1M *N ar3` a #° / of a Rw S 'ay ?47 3' 'q 1; r:% J DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC NEW SINGLE FAMILY 455-0000-322-1000 400 $110.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.48 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$169.48 Issued Date:3/9/2020 1 of 2 JS r` v.fy., ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER iiik.. ,p1 sy CITY OF ATLANTIC BEACH ERE520-0070 ii 800 SEMINOLE ROAD ISSUED: 3/9/2020 s vATLANTIC BEACH. FL 32233 EXPIRES: 9/5/2020 Issued Date:3/9/2020 2 of 2 TSrsLy r, Electrical Permit Application **ALL INFORMATION �. �,, HIGHLIGHTED IN s'' City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 E Ra5ZO~OO 7 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:KES 19 JOB ADDRESS: i t"i" R T/- ►r -r L � �,q-r.G, p r, PROJECT VALUE$ / , b o o JEA INFORMATION REQUIRED ON ALL PERMITS: 4/()t.9 AMPS c74'!? VOLTS / PHASE LU4IIEW SERVICE: ❑ Overhead A?nderground ❑Underground up Pole Residential (Main)Service: ❑0-100 amps o101-150amps 111151-200amps ❑ 900 amps #of Meters / ❑Commercial (Main)Service: ❑0-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps Conductor Type Size nMulti-Family(Main) Service: ❑0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters TEMPORARY POLE: amps ,—, SERVICE UPGRADE: ❑ amps ECT Service amps L7 NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.): Iu10 amps ❑150amps Lamps o amps ❑CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: /7 0 0-30amps 31-100amps 101-200amps Appliances: '7 0-30amps 31-100amps 101-200amps A/C Circuits: 2_ 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: g .7 0 OTHER ELECTRICAL PROJECTS: ❑Swimming Pool ❑Signiioke 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 '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: , d V - Pa f� Phone Number: 90y— i� -7r/9- Electrical Company: pa lop //nrCr 5 cr/ c . G , Office Phone: $ -' Fax: Co.Address: Z(5-/(201., /71 SS•e leo I.• t- - tcJ City: C r/r 4-?". State: F( Zip: 310 '1 License Holder: / State Certification/Registration#: f 3 0)a- S 5 Notarized Signature of License Holder 7.,€�4+a / The foregoing instrument was acknowledged before me this day .7 ice'0 in the State of Florida,County of TONI GINDLESPERGER Signatur of Notary Public • o r,;Y I;t`dISSION#GG 353178 ] Personally Known OR[ ] Produced Identification ;•'RSS:October 6,2023 Type of Identification: - ;Public Underwriters