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2092 VELA NORTE CIR ERES23-0001 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER 04 CITY OF ATLANTIC BEACH ERES23-0001 800 SEMINOLE ROAD ISSUED: 1/4/2023 `''Ilk ATLANTIC BEACH. FL 32233 EXPIRES: 7/3/2023 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 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: 2092 VELA NORTE CIR ELECTRICAL RESIDENTIAL ELECTRIC FOR REMODEL $3000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169506 1036 SELVA NORTE UNIT 01 COMPANY: ADDRESS: CITY: STATE: ZIP: CURRENT ELECTRICAL CONTRACTORS 11787 WORDSWORTH CT JACKSONVILLE FL 32223 OWNER: ADDRESS: CITY: STATE: ZIP: LINDORREVOCABLE 2092 VELA NORTE CIR ATLANTIC BEACH FL 32233-4532 LIVING TRUST AGREEMENT 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. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 10 $6.00 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:$65.00 Issued Date: 1/4/2023 1 of 2 rs,,,vii-,, Electrical Permit Application **ALL INFORMATION S � HIGHLIGHTED IN - " City of Atlantic Beach Building Department GRAY IS REQUIRED. 'AV, 800 Seminole Rd, Atlantic Beach, FL 32233 ER -- 23-000 `ii '~ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: o)' O1M8 JOB ADDRESS: 101, ,. v vI ra NI OR c2 PROJECT VALUE $ 3oo •`4`� JEA INFORMATION REQUIRED ON ALL PERMITS: Zee. AMPS 2,40 VOLTS ( PHASE ❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole ❑Residential(Main)Service: DO-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service: ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps DCT Service amps Conductor Type Size ❑Multi-Family(Main)Service: ❑0-100 amps ❑101-150amps ❑151-200amps ❑ 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 121 ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: W 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: ❑Swimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers_ KVA ❑Motors HP ❑ FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps El 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: 1—In44oRS Phone Number: Electrical Company: CO2Rb.'7". F(,6c-7—Li CA-L.- Office Phone: 904-'1,4-9 S0 8 Fax: Co.Address: ()'I 9)1 W O2c Sta©LM. al-. City: 510CAi-Sp-c It t State: FL Zip: 32-22 - License Holder: 11- JJ Q.t. ..A4 State Certification/Registration#: EC,1 3oo51o9f5 Notarized Signature of License Holder )--\o-4_, "\ The foregoing instrument was acknowledged before me this4d.y • _ ,s1 sr ' r the State of Florida,County of ( IVQ: 6• -- Signature of Notary Public N ► ' '" TONI GINDLESPERGER '%(�;.,. [ Personally Known OR[ 1 Produced Identification • 1.! :.i MY COMMISSION#GG 353178 Type of Identification: 1: r ''s/ EXPIRES:October 6,2023 k `•.4,„ ,r flooded Thru Notary Publk:Underwr1ters