170 8th St ERES22-0191 Electric Permit Revision 10-24-22 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
n CITY OF ATLANTIC BEACH ERES22-0191
800 SEMINOLE ROAD ISSUED: 8/25/2022
lv ATLANTIC BEACH. FL 32233 EXPIRES:4/5/2023
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
I 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:
ELECTRIC FOR GARAGE AN
170 8TH ST ELECTRICAL RESIDENTIAL REMODEL and UPGRADE TO $8500.00
300amps
ZONING:TYPE OF REALESTATE SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
170326 0000 CLUB MANOR
COMPANY: ADDRESS:
PHASE ONE ELECTRIC LLC 2036 MAYPORT RD JACKSONVILLE FL 32233
• ADDRESS:
BARDUSCH MARK C 170 8th ST ATLANTIC BEACH FL 32233
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 APPLIANCES FIXED OR STATIONERY 455-0000-321-1000 0 $4.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-10M 35 $21.00
ELEC SERVICE CHANGE 455-MM-322-10M 300 $90.00
ELECTRICAL EASE FEE 455-MM 322-10M 0 $55.00
STATE DOPRSURCHARGE 455-0000-208-0900 0 $2.00
Issued Date:8/25/2022 1 of 2
Revision Request/Correction to Comments "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT a:
Revision to Issued Permit OR p❑ Corrections to Comments Date:
Project Address: 1-7 d 7"!'
Contractor/Contactfit
Name: PhA Q- r7
Contact Phone: "?a'i, S3S- T719' Email: Five.<L 0 n e. e.(e� c COM 1,4 SIS.AR-- '
Description of Proposed Revision/Corrections:
AI)12 Ele.C,Ill(i< 5e_rDI<c. ulpq 'ydc, +6 `360 Am PS
s ti� 4h0sc, fa6(a4dvr)fi�
I M iLAG t ( [ :,.Ln i n affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
No ❑ Yes(additional s.f.to be added: )
• Will propo�se7d revision/corrections add additional increase in building valueto original submittal?
EINo W-Yes(additional increase in building value:$ kC (contmttor must sign glnan,aw in valuation)
'Signature of Contractor/Agent:
(Office Use Only)
❑ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services VpdoW 1owp8