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1679 Atlantic Beach Dr ERES21-0153 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP: BRENNAN J MICHAEL 1679 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: SEASIDE ELECTRICAL CONTRACTORS 12620-3 Beach Blvd #235 JACKSONVILLE FL 32246 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169505 1365 ATLANTIC BEACH COUNTRY CLUB UNIT 02 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1679 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL GARAGE SPACE BUILDOUT ELECTRICAL $31200.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $9.40 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 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: 6/26/2023 PERMIT NUMBER ERES21-0153 ISSUED: 6/26/2023 EXPIRES: 12/23/2023 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $103.40 2 of 2Issued Date: 6/26/2023 PERMIT NUMBER ERES21-0153 ISSUED: 6/26/2023 EXPIRES: 12/23/2023 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Electrical Permit Application ALL INFORMATION 0-44.1-4,HIGHLIGHTED IN 77:1City of Atlantic Beach Building Department GRAY IS REQUIRED. s 800 Seminole Rd, Atlantic Beach, FL 32233 C-- G.--- 1. -(J. ( =, on1Sfe Phone: 7 g( 9904) 247-5826 Email: Building-Dept@coab.us PERMIT#: P6S•Z /-0/9O JOB ADDRESS: /6 / I/AN l/-- i C/I PROJECT VALUE $ 7( 2,00 ' '14 JEA INFORMATION REQUIRED ON ALL PERMITS: 2'V AMPS ZYO VOLTS / PHASE NEW SERVICE: Overhead 'Underground 'Underground up Pole Residential (Main)Service: 0-100 amps o101-150amps o151-200amps amps of Meters Commercial (Main)Service: 0-100 amps o101-150amps o151-200amps amps ECT Service amps Conductor Type Size Multi-Family(Main) Service: 0-100 amps E101-150amps o151-200amps amps of Unit Meters I I TEMPORARY POLE: amps 1 SERVICE UPGRADE: amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.): 100 amps 150amps o200amps amps CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: / 7 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: / a OTHER ELECTRICAL PROJECTS: Swimming Pool Sign Smoke Detectors Qty) Transformers KVA Motors HP I I FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps REPAIRS/MISCELLANEOUS: Replace Burnt/Damaged Meter Can Safety Inspection Panel 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 cj xjOwnerName: onstruction. iA.l e;d Phone Number: Electrical Company:Se",5- d ciec ( / A/,rnifrce Phone: 50`, - S-1"t ^ err 35- Fax: Co.Address: /26 20 3 64 ^ 14 27S City: J.c-4s-/- A.I(. State: FL- Zip: .r2Z 46 License Holder: (Wt./a< 61:---'- 1,‘ f.5-5,4-',4-14.4—, State Certification/Registration#: Cf t 5" 13 5-7 8 Notarized Signature of License Holder . „ The foregoing instrument was acknowledged before me this i 8 day a k,_- r in t a State of Florida,County of Signature of Notary Public i c'-' tlpYPV-• TONIGINDLESPERGEP. Known OR P ced Identification„,*: MY COMMISSION#GG 353178 I Personally u EXPIRES:October 6,2023 Type of Identification: Imo_ F.F•O Bonded Thru Notary Public Underwriters