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340 2nd St ERES22-0042 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER I► _� CITY OF ATLANTIC BEACH ERES22-0042 ISSUED: 3/7/2022800 SEMINOLE ROAD `'';» ATLANTIC BEACH, FL 32233 EXPIRES: 9/3/2022 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: 340 2ND ST ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE 400 $30000.00 AMPS TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169765 0000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: LORE ELECTRICAL PONTE VEDRA 210 N ROSCOE BLVD FL 32082 CONTRACTORS BEACH OWNER: ADDRESS: CITY: STATE: ZIP: D AND K WADE TRUST 7510 BRIARCLIFF DR ROSOE IL 61073 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. FEES 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: $169.48 Issued Date:3/7/2022 1 of 2 Electrical Permit Application **ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. j, 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: -RES ZZ—001Z JOB ADDRESS: 2'10 2. N 69 C+' PROJECT VALUE$ -c). C 0 C) r JEA INFORMATION REQUIRED ON ALL PERMITS: 4 ©AMPS 2 o VOLTS ) PHASE 1 NEW-SERVICE: ❑ Overhead underground ❑Underground up Pole Residential (Main)Service: ,� ❑0-100 amps 101-150amps o151-200amps CI �-t amps #of Meters i ❑Commercial (Main) Service: 0-100 amps D101-150amps o151-200amps ❑ amps DCT Service amps Conductor Type Size I Multi-Family(Main)Service: 10-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters TEMPORARY POLE __ _amps SERVICE UPGRADE: ❑ amps ECT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): ❑100 amps ❑150amps 200amps amps CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200am ps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw �� Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS: ❑Swimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP PH 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 l0/17/18 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. ,p��_,� Owner Name: /v► LC.Cf Phone Number: Electrical Company: LO/LE L—/fJ(72-I C4-/ L/(. .4454C. Office Phone: 0 Y-2-13 - 1(4 3 Fax: Co.Address: -1 o Ais 14 SLO C/ 61 ,)d• City: C t/t )fr '9• State: it Zip: 3 2- 2- License Holder: MI c-1tI 6( � _L, /2.�� (_7`,U -Cr- 0 2. State Certification/Registration#: /.3 0 b 6,^(i�� Notarized Signature of License Holder 1 � The foregoing instrument was acknowledged before me this 7day of l rLA_ E. e State of ;odd ,County of 9(It(CL.,( Signature of Notary Public . / � 7., TONI GINDLESPERGER e; 1 � r/: . MISSION#GG 353178 :� ;a' '•:'IRES:October 6.2023 a . aBa O,'- .. , •ihru Notary Pubic Underwriters TYPe orsf oIdneanllYtifKicnaotwionn:O R[ ] Produced Identification