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40 SEMINOLE LANDING RD ERES22-0035LAVI Electrical Permit Application ALL INFORMATION rJ'\ HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 73 V v 800 Seminole Rd, Atlantic Beach, FL 32233 ERES2Z_ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT JOB ADDRESS: 40 SEMINOLE LANDING ROAD PROJECT VALUE $$ 5,000.00 JEA INFORMATION REQUIRED ON ALL PERMITS: 150 AMPS 120 VOLTS 1 PHASE El NEW SERVICE: 0 Overhead Underground DUnderground up Pole dtesidential (Main)Service: 00-100 amps 1:3101-150amps 0151-200amps 0 amps of Meters Commercial (Main)Service: 00-100 amps 0101-150amps 0151-200amps amps OCT Service amps Conductor Type Size Multi-Family(Main) Service: 0-100 amps 0101-150amps 0151-200amps 0 amps of Unit Meters 17 TEMPORARY POLE: amps El SERVICE UPGRADE: 0 amps OCT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps 0150amps 0200amps amps CT Service amps D ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: 30 0-30amps 31-100amps 101-200amps Appliances: 5 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits:circuits @ kw Number of Lighting Outlets, Including Fixtures: 15 OTHER ELECTRICAL PROJECTS: Swimming Pool Sign lamoke Detectors 3 Qty) Transformers KVA ['Motors HP n FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps n REPAIRS/MISCELLANEOUS: DReplace Burnt/Damaged Meter Can Safety Inspection EPanel Change DOH to UG QJther:KITCHEN ISLAND RECEPTS 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: JOHN MONAGLE Phone Number: (904)813-1707 Electrical Company: PHASE ONE ELECTRIC, LLC Office Phone: (904)232-8263 Fax: Co.Address: 2036 MAYPORT ROAD City: JACKSONVILLE FL 32233State:Zip: License Holder: MICHAEL LINCOLN State Certification/Registration#: EC#13005388 Notarized Signature of License Holder ` i i The foregoing instrument was acknpwle. ged before me this day o 2_L 2'ra, in the State of Florida,County of V',:c; ., TONT GINDLESPERGER Signature of Notary Public U _1 au MY COMMISSION#GG 353178 oa EXPIRES:October 6,2023 0 ,f-ow 4;?,'. Bonded Thru Notary Public Underwriters OWNER:ADDRESS:CITY:STATE:ZIP: MONAGLE JOHN 40 SEMINOLE LANDING RD ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: PHASE ONE ELECTRIC LLC 2076 CORONA CT JACKSONVILLE FL 32224 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 168908 1026 BLUFFS JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 40 SEMINOLE LANDING RD ELECTRICAL RESIDENTIAL ELECTRICAL FOR INTERIOR REMODEL $5000.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $10.00 ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 45 $27.00 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: $96.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 2Issued Date: 2/25/2022 PERMIT NUMBER ERES22-0035 ISSUED: 2/25/2022 EXPIRES: 8/24/2022 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 2/25/2022 PERMIT NUMBER ERES22-0035 ISSUED: 2/25/2022 EXPIRES: 8/24/2022 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233