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5115 POLARIS CT ERES23-0110 s S'E,,,,; . ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ERE523-0110 ISSUED: 5/11/2023 \�o;;w� ATLANTIC BEACH. FL 32233 EXPIRES: 11/7/2023 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. I JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 5115 POLARIS CT ELECTRICAL RESIDENTIAL ELECTRIC FOR REMODEL $2400.00 TYPE OF REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169397 0200 SECTION LAND COMPANY: ADDRESS: CITY: STATE: ZIP: BARKOSKIE ELECTRICAL JACKSONVILLE 953 Shetter Ave FL 32250 SERVICE BEACH OWNER: ADDRESS: CITY: STATE: ZIP: NAVAL CONTINUING CARE RETIREMENT 1 FLEET LANDING BLVD ATLANTIC BEACH FL 32233-4599 FOUNDATION INC 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 APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00 ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 28 $16.80 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 Issued Date: 5/11/2023 1 of 2 .5 ,\,,-,.,,. Electrical Permit Application "ALL INFORMATION ''' HIGHLIGHTED IN `' ; l City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 E RSz C. ( ( Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: &523 0084 JOB ADDRESS: 5//S Poi-,4/2-4 5 G-/- PROJECT VALUE$ 2467° " JEA INFORMATION REQUIRED ON ALL PERMITS: /,b AMPS ° VOLTS / PHASE El NEW SERVICE: In Overhead ❑Underground ❑Underground up Pole I:Residential (Main)Service: 00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters ❑Commercial(Main)Service: ❑0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size ©Multi-Family(Main)Service: ©J-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters ❑TEMPORARY POLE: amps SERVICE UPGRADE: ❑ amps ❑CT Service amps ❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.): 0100 amps 1:150amps ❑200amps ❑ amps QT Service amps ficADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: /2 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: /G El OTHER ELECTRICAL PROJECTS: ['Swimming Pool DSign ❑Smoke Detectors (Qty) ❑ ransformers KVA ❑Motors HP ❑ FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps ❑ REPAIRS/MISCELLANEOUS: ❑Replace Burnt/Damaged Meter Can Safety Inspection DPanel 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 constru Owner Name: f iv L 4t- 4D1 < -- N CC R E. Phone Number: 246 — '9vv Electrical Company: Barkoskie Electric Service Office Phone:(904)248-4731 Fax:(904)249-8017 Co.Address: 953 Shetter Avenue City: Jacksonville Beach State: FL Zip: 32250 License Holder: James Hughes State Certification/Registration#: EC13002387 Notarized Signature of License Holder �) The foregoing instrument was acknowledg d before 9/me this // day of lfrl— ,2025 in the State of Florida,County of a IA.A.�'C «"'""tt. MARGARET A.MAY Signature of Notary PublicA ' 44/. .•: :i. MY COMMISSION Ik GG 979259 5�. _ i EXPIRES:July 24,2024 [ ] Personally Known OR[ ] Produced I tification °`•t•`•? Bonded TbruWaryPubretkiderwrleers Type of Identification: