208 Seminole Rd ERES22-0050 Electric Permit ' ''-� ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES22-0050
'� ISSUED: 3/14/2022
V ' o> 80NTIC BEACH.OLE
ROAD EXPIRES:9/10/2022
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL
CONDITIONS OF
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.
• • • . r • r • OF • •
208 SEMINOLE RD ELECTRICAL RESIDENTIAL ELECTRICAL FOR INTERIOR $200.00
REMODEL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170519 0010 SALTAIR SEC 01
COMPANY: rr •
• ADDRESS:
TANG KENNETH I 208 SEMINOLE RD ATLANTIC BEACH FL 32233-4143
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 LIGHTING OUTLETS INCLUDING FIXTURES 4550000-3221000 20 $12.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBFR SURCHARGE 455-0000-208-0]W 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$71.00
Issued Date:3/14/2022 1 of 1
Electrical Permit Application ""ALL INFORMATION
pp HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 CRESZZ— cc>S C)
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT If:
JOB ADDRESS: —01"' PROJECT VALUE$ ��"'m+ `�
JEA INFORMATION REQUIRED ON ALL PERMITS:_AMPS_VOLTS—PHASE
❑ NEW SERVICE: ❑Overhead oUnderground oUnderground up Pole
oltesidemial(Main)Service:
oO-100amps o101-150amps n151-200amps ❑ amps Rof Meters_
oeommercial(Main)Service:
00-100amps o101-150amps ❑151-200amps ❑_amps oCTService_amps
Conductor Type Size
oMulti-Family(Main)Service:
oO-100 amps 0101-150amps 0151-200amps ❑ amps d of Unit Meters
❑ TEMPORARY POLE:_amps
❑ SERVICE UPGRADE: ❑ amps oCr Service_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
❑SOOamps ❑150amps o200amps ❑_amps oCTService amps
0 ADDITIONS,REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 20 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: q circuits @) kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS: 2
oSwimming Pool nSign dimoke Detectors.1_(Qty) ❑Transformers KVA oMotors He
❑ FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
oReplace Burnt/Damaged Meter Can DSafety Inspection ❑Panel Change ❑OH to UG
oOther: updoren 10/17118
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 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
coestruetion.
Owner Name: 41-r-, f /`161 Phone Number: 40 y-71/(o^Yc➢��y
Electrical Company: C)QO �_ Office Phone: Fax:
Co.Address: City: State: Zip:
License Holder: State Certification/Registration If:
Notarized Signature ofUcense Holder ////
The foregoing instrument was a<kn fore me thij 4—day of a Late of Florida,County of
_ TG DLESPERGER Si ture of Notary Public
i gg
4,
fix, ,`, MY 00;„IGSION A GG363776
j-._eg `y.L EXPIRES:Odober6,2023 morally Known OR I )Produced Identlflwtion
eon6acovufldayPWucaMa of Identification: