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751 CAVILLA RD ERES22-0119 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: MCBRIDE AMY E FAIRCHILD 751 CAVALLA RD ATLANTIC BEACH FL 32233-3916 COMPANY:ADDRESS:CITY:STATE:ZIP: HWV MECHANICAL & ELECTRICAL CONTRACTORS 12797 Wilderness LN JACKSONVILLE FL 32258 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 171346 0000 ROYAL PALMS UNIT 02A JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 751 CAVALLA RD ELECTRICAL RESIDENTIAL REPLACE EXISTING ELECTRIC PANEL $2000.00 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: 5/25/2022 PERMIT NUMBER ERES22-0119 ISSUED: 5/25/2022 EXPIRES: 11/21/2022 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 TOTAL: $94.00 2 of 2Issued Date: 5/25/2022 PERMIT NUMBER ERES22-0119 ISSUED: 5/25/2022 EXPIRES: 11/21/2022 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Updated 10/17/18 Electrical Permit Application **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: __________________ JOB ADDRESS: ______________________________________________ PROJECT VALUE $_____________________ JEA INFORMATION REQUIRED ON ALL PERMITS: ______AMPS _____ VOLTS _____ PHASE NEW SERVICE: ප Overhead ෺Underground ෺Underground up Pole පResidential (Main) Service: Ϭ-100 amps ප101-150amps පϭϱϭ-200amps පප_______amps # of Meters ______ පCommercial (Main) Service: Ϭ-100 amps පϭϬϭ-150amps පපϭϱϭ-200amps පͺͺͺͺͺͺͺĂŵƉƐ පCT Service ______ amps Conductor Type_________________ Size _______________ පMulti-Family (Main) Service: 0-100 amps පϭϬϭ-150amps පϭϱϭ-200amps පප_______amps # of Unit Meters ______ TEMPORARY POLE: _______amps SERVICE UPGRADE: ප_______amps පCT Service ______ amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): ϭϬϬĂŵƉƐපϭϱϬĂŵƉƐපපϮϬϬĂŵƉƐපͺͺͺͺͺͺͺĂŵƉƐපCT 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 Heat Circuits: _______ # circuits @_______kw Number of Lighting Outlets, Including Fixtures: _______ OTHER ELECTRICAL PROJECTS: ප^ǁŝŵŵŝŶŐWŽŽůප^ŝŐŶප^ŵŽŬĞĞƚĞĐƚŽƌƐͺͺͺͺ___ (YƚǇͿපdƌĂŶƐĨŽƌŵĞƌƐͺͺͺͺͺͺͺͺͺ<sපMotors _______ HP FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty _________ volts/amps ____________ REPAIRS/MISCELLANEOUS: පReplace Burnt/Damaged DĞƚĞƌĂŶප^ĂĨĞƚǇ/ŶƐƉĞĐƚŝŽŶපWĂŶĞůŚĂŶŐĞපOH to UG පOther:____________________________________________________________________________________________ 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: _________ _______ Phone Number: Electrical Company: Office Phone: ___ Fax: Co. Address: City: State: Zip: License Holder: ____________ State Certification/Registration #: Notarized Signature of License Holder The foregoing instrument was acknowledged before me this _____day of ___________, 20___, in the State of Florida, County of __________ Signature of Notary Public [ ] Personally Known OR [ ] Produced Identification Type of Identification: ______________________________________________________________ 751 CAVALLA RD $ 2,000.00 200 ✔ ✔ FL Duval24 1 May 240 9046474993 9218 Cypress Green Dr Christopher Hyman 32256 Amy Mcbride Replace existing panel 22 9046731230 EC1301113 Jacksonville HWV Electrical and Mechanical Contractors ERES22-0119 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $94.00 ERES22-0119 Address: 751 CAVALLA RD APN: 171346 0000 $94.00 ELECTRICAL $90.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R19675 $94.00 Printed: Wednesday, May 25, 2022 10:45 AM Date Paid: Tuesday, May 24, 2022 Paid By: Christopher Hyman Pay Method: CREDIT CARD 641682267 1 of 1 Cashier: JJ Cash Register Receipt City of Atlantic Beach Receipt Number R19675