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940 & 950 ORCHID ERES22-0093 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: AARONIAN RAY 208 S MILL RIDGE TRL PONTE VEDRA BEACH FL 32082-5113 COMPANY:ADDRESS:CITY:STATE:ZIP: Incredible Electrical LLC 10390 Agave Road JACKSONVILLE FL 32246-8602 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170947 0500 ATLANTIC BEACH SEC H JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 940 ORCHID ST ELECTRICAL RESIDENTIAL 940 & 950 ORCHID ELECTRICAL FOR INTERIOR REMODEL $2110.00 FEES 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 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: 4/25/2022 PERMIT NUMBER ERES22-0093 ISSUED: 4/25/2022 EXPIRES: 10/22/2022 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 TOTAL: $94.00 2 of 2Issued Date: 4/25/2022 PERMIT NUMBER ERES22-0093 ISSUED: 4/25/2022 EXPIRES: 10/22/2022 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 S%->>r, Electrical Permit Application **ALL INFORMATION HIGHLIGHTED IN " J,. City of Atlantic Beach Building Department GRAY IS REQUIRED. r f1 �\ 800 Seminole Rd, Atlantic Beach, FL 32233 0109.- ( ) ERE, Z 2.-OO9` Phone: 904 247-5826 Email: Building-Dept@coab.us P,EyR�MIT#: JOB ADDRESS: /4D Com' V� PROJECT VALUE $J 55-0 `t I *-5---,S-C) o`rr c-"1 l S C___ JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE ❑ NEW SERVICE: n Overhead ❑Underground nUnderground up Pole ❑Residential(Main)Service: ❑O-100 amps D101-150amps o151-200amps o amps #of Meters ❑Commercial (Main)Service: ❑0-100 amps o101-150amps o151-200amps ❑ amps ECT Service amps Conductor Type Size ❑Multi-Family(Main)Service: ❑0-100 amps D101-150amps o151-200amps ❑ amps Al of Unit Meters ❑ TEMPORARY POLE: amps ❑ SERVICE UPGRADE: ❑ amps DCT Service amps ❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.): 0100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps ADDITIONS, REMODELS, EPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: 6,00utlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: f' Z ❑ OTHER ELECTRICAL PROJECTS: ❑Swimming Pool ❑Sign ❑Smoke 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 ❑OH 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: S-i4 6e3C-Pl.e /-2-rr ) Phone Number: �"g " 77545 Electrical Company: �fc..ekLJc, L=/e tilric j C1 Office Phone: �� Fax: Co.Address: IO3`7a44.3,4.3,v1,--cccI7'ol City: �1(rlc z,r,a , State: Fl- Zip: .3.. ... ./cLicense Holder: lis/in 6saszln4reNState Certification/Registration#:tI']3e,I S�c.'a Notarized Signature of License Holder S i,•-.. 4,4$2---A---- (--"----- The foregoing instrument was acknowledged before me this--'?day of 0114 tt ,20" th- State ,f Florida,County of�-)t y Signature of Notary Public eh 201\ 4,!,.Y.*;,, TONI GINDLESPERGER IIIW ,,E c•- t*S. MY COMMISSION [ 1 Personally Known OR [ i P,�oduced Identification „,r �� ;,.:�Po EXPIRES:October 6,2023 Type of Identification: i ',......`t,.- Bonded Thni Notary Public Underwriters iyulf Electrical Permit Application **ALL INFORMATION �S' =;, HIGHLIGHTED IN {d\ City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 "'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:ERE Z`z-6°9; JOB ADDRESS: ¶4D -,` 1g PROJECT VALUE $ �/55-0 15 S-C) 0...n._ c S C JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE ❑ NEW SERVICE: ❑ Overhead ❑Underground Underground up Pole ❑Residential (Main)Service: ❑0-100 amps o101-150amps o151-200amps ❑ amps #of Meters ❑Commercial (Main)Service: ❑0-100 amps o101-150amps o151-200amps ❑ amps DCT Service amps Conductor Type Size ❑Multi-Family(Main)Service: DO-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters ❑ TEMPORARY POLE: amps ❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps ❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.): ❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps ADDITIONS, REMODELS, EPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: 6,00utlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: / Z (14 ❑ OTHER ELECTRICAL PROJECTS: ❑Swimming Pool ❑Sign nSmoke Detectors (Qty) ❑Transformers KVA El 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: s4.rn 4c3'Cp�-M9`/\- ) ,+ Phone Number: 7 6'-8524" /?'7rtJ Electrical Company:f e-A... i(Jc, L 1ee_t,-fT/c,4 L--�-0 Office Phone: �� J _Fax: )� Co.Address: 1O3`7C' 4,crv,— i7r City: Sic,�G3onIat, State: �� Zip: 3�-?yC License Holder: LSLlSh'\ LV '3` State Certification/Registration#:&1'1 V2,IS r7 Notarized Signature of License Holder " The foregoing instrument was acknowledged before me this day of eld L. ,20 ' th State f Florida,County o j ro. ( Signature of Notary Public Q),.._ c_..- •zN''' TONI GINDLESPERGER . I41 • = MY COMMISSION#GG353178 [ I Personally Known OR[ I P•�oduced Identification �4r ,•��,P`.= EXPIRES:October 6,2023 Type of Identification: �',,,FvN,�� Bonded Thru Notary Public Underwriters