1950 BEACH BLVD UNIT 1980 ERES22-0130 ,:,,„
'-cl-f-V'rr' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES22-0130
ISSUED: 6/7/2022
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800 SEMINOLE ROAD
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�' ''� ATLANTIC BEACH, FL 32233 EXPIRES: 12/4/2022
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:
1950 BEACH AVE ELECTRICAL RESIDENTIAL 1980 MULTI FAMILY NEW $1800.00
100 AMP METER
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169526 0000 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
CRAWFORD ELECTRIC 313 BEACH AVE JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
LAND TRUST NO 1950 1950 BEACH AVE ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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 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
TOTAL:$94.00
Issued Date:6/7/2022 1 of 2
Yj'�1Jr�J' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACH ERES22-0130
Vr 800 SEMINOLE ROAD ISSUED: 6/7/2022
ATLANTIC BEACH. FL 32233 EXPIRES: 12/4/2022
Issued Date:6/7/2022 2 of 2
\,,r Electrical Permit Application **ALL INFORMATION
rsy HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
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800 Seminole Rd, Atlantic Beach, FL 32233
' --' `'" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 'lei S d C -(26‘ ,, .t , PROJECT VALUE$ ' ..,_5 _$vo,c_
U►/‘•� T 1980 -(\eLk) on
er
JEA INFORMATION REQUIRED ON ALL PERMITS: ler2 AMPS 0(1°___ VOLTS ( PHASE
NEW SERVICE: Overhead ❑Underground ❑Underground up Pole
IA
❑Residential(Mai Service:
-100 amps ❑101-15Oamps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps [ACT Service amps
Conductor Type Size
nMulti-Family(Main)Service:
❑0-100 amps ❑101-150amps ❑151-2O0amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: E amps ❑CT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑20Oamps ❑ amps ❑CT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-10Oamps 101-200amps
Appliances: 0-30amps 31-1O0amps 101-2O0amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
ESwimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change EON 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. f!• ( /
Owner Name: ( (C41 / I I I`f" e U'er( l t Phone Number: 9 ;o ' a%3 -4 7 3 7
Electrical Company: 0c+() tc C.(( IG{i\.'Cc_ Office Phone: 9L79 a��)- SS't/ Fax:
Co.Address: 'jl� 4eL nQ' `USI City: State: Zip:
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License Holder: Jd L v� VN. `' . j� State Certification/Registration#: EC I;Or,a(v 4 I
Notarized Signature of License Holder /� Y� !✓—/'W -
The foregoing instrument was acknowledged before me this 7 day. `, '\Q ,2 r FI he State of rida,County ofilk A
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Signature of Notary Public �_ _ v
li+!''.��'•• TONI GINDIESPERGER
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MY COMMISSION#GG 353178 Personally Known OR[ ] Produced Identification
-t�"- :_-F EXPIRES:October 6,2023
' Type of Identification:
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.., ;° Bonded Thru Notary Public Underwriters -