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351 SEMINOLE RD ERES21-0238 `' f'1;-; ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER r '' ERES21-0238 ,.y CITY OF ATLANTIC BEACH \" rt _.._ v: 800 SEMINOLE ROAD ISSUED: 9/29/2021 o;=»r EXPIRES: 3/28/2022 ATLANTIC BEACH, FL 32233 MUST CALL INSPECTION`PHONE LINE (904) 247-5814 BY 4 PNI 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: 351 SEMINOLE RD ELECTRICAL RESIDENTIAL PANEL CHANGE $1100.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170434 0005 SALTAIR ACRES SEC 02 COMPANY: ADDRESS: CITY: I STATE: ZIP: POWERWISE ELECTRICAL SERVICES LLC 333 SIDEOUT CT JACKSONVILLE FL 32277 . OWNER: ADDRESS: CITY: 1 I STATE: ZIP: PETERSON HELEN M 351 SEMINOLE RD ATLANTIC BEACH FL 32233-4144 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. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00 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:$94.00 Issued Date:9/29/2021 1 of 2 s-""'�'''c rElectrical Permit Application **ALL INFORMATION ` HTED IN -- '' City of Atlantic Beach Building Department 0L,..,,, GRAY ISHIGHLIGREQUIRED. ,J 800 Seminole Rd, Atlantic Beach, FL 32233 [' 2 `'-':..s. '`'` Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1=r'E2Z 1 -O/�Z✓� JOB ADDRESS: T $ \ serf i n©k.'e keS, PROJECT VALUE $ 1 1. d 0 JEA INFORMATION REQUIRED ON ALL PERMITS: ISO AMPS -9O VOLTS # PHASE ri NEW SERVICE: 0 Overhead ❑Underground Underground up Pole L7tesidential(Main)Service: 00-100 amps D101-150amps D151-200amps ❑ amps #of Meters ❑Commercial (Main)Service: 00-100 amps 1:101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service: ❑0-100 amps 1:1101-150amps 0151-200amps 0 amps #of Unit Meters 0 TEMPORARY POLE: amps ❑SERVICE UPGRADE: ❑ amps OCT Service amps n NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps 1:1150amps 0200amps 0 amps OCT Service amps ❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps He Circuits: # circuits @ kw umber of Lighting Outlets, Including Fixtures: P1 OTHER ELECTRICAL PROJECTS: P&ruga t G.,'� ❑Swimming Pool Sign ❑Smoke Detectors (Qty) ['Transformers KVA ❑Motors HP ❑ FIRE ALARM SYSTEM (Requires 3 sets of plans): Qt volts/amps REPAIRS/MISCELLANEOUS: ❑ ace B nt/Dama ed Meter Can ❑Safety Ins ection Panel Change DOH to UG ther: ISO i_ � f lui _ Qt-f Qt-ffin/ 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 �-�e1 Owner Name: I) h G0 Oi kJ (2‹.17 v2(-..,S // 4 L rS(3n Phone Number: /M-{—S-VO —26Y-Z.__ Electrical Company: `, -O UJ/e( W i&e e t 2Q'{�E;dt,( g-'eCu t Q&ffice Phone: 1 OL[A-Sr ) —�Co 4( 'Z Fax: k Co.Address: 3 3 3 .2 - O u 4 14-- City: 36Akionui( le State: FL, Zip: '3'Z72r1ri License Holder: OCQ(,A,`fL W ROi :(!_Qe rj State Certification/Registration#: 1'Se>:3 9 �21 Notarized Signature of License Holder /kJ / The foregoing instrument was acknowledged before me this �,ay o t• 1 4 ' r Jin the lite of Florida,County of ..•*.tt: TONI GINDLESPERGER Signature of Notary Public �� �., _ MYCOMMISSION#GG 353178 [ ]personally Known OR[ ] Produced Identification jfBon:" .�1Qi EXPIRES:October 6,2023 Type of Identification: .�, ''P,..;°° dedThruNotarYPubUcUnderWTiters