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380 11th St ERES23-0202 (2) - Irl' vp,), ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER ' CITY OF ATLANTIC BEACH ERES23-0202 ISSUED: 8/28/2023 -4(.4119)' 800 SEMINOLE ROAD EXPIRES: 2/24/2024 ATLANTIC BEACH. FL 32233 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: 380 11TH ST ELECTRICAL RESIDENTIAL ELECTRIC FOR REMODEL $200.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170090 0000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: CORTES ELECTRIC 3233 BRIDGE COVE CIRCLE EAST JACKSONVILLE FL 32216 OWNER: ADDRESS: CITY: STATE: ZIP: ALOE DANIEL 2354 GOLFVIEW DR PITTSBURGH PA 15241 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. I 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:$65.00 Issued Date:8/28/2023 1 of 2 Electrical Permit Application **ALL INFORMATION s�t �,�r�' HIGHLIGHTED IN "'\ City of Atlantic Beach Building Department GRAY IS REQUIRED. `\ 800 Seminole Rd, Atlantic Beach, FL 32233 �t2ESZ3 -ozOZ Phone: (904 247-5826 Email: Building-Dept@coab.us PERMIT#:RC.J -0,-"ei 7 JOB ADDRESS: c 3 S /,- PROJECT VALUE$ 477. ). JEA INFORMATION REQUIRED ON ALL PERMITS:,R&7AMPS p? E,VOLTS / PHASE ❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole ❑Residential(Main)Service: ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service: ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ECT 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 ❑2O0amps ❑ amps ❑CT Service amps 12 ADDITIONS, ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: A9 0-3Oamps 31-100amps 101-20Oamps Appliances: 0-3Oamps 31-100amps 101-20Oamps 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 ❑ 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 construction. bA 1' jj '7c .,/6 5 7 Owner Name: / �_/-� ,/ fin© Phone Number: 7 Electrical Company: (9 "Ze//S ��c . 'ii'. -4,A>c, Office Phone: 7o '-6' ' - $79' Fax: "A---7/9- Co. t� Co.Address: /V7 ( r- i 2' _ - Ci • dU€/' 's State: Zip:_.Z„,?‘ License Holder: (�5� Ir-- , _�sl '=gistration#: LAG -/3 9/ ?7 Notarized Signature of License Holder 4 _10.1111r-, ' The foregoing instrument was acknowledged before me this Ze-Ciay of rf y A the State of Florida,County of 1,-.),VL-( Signature of Notary Public _ d_ •,:oi< TONI GINDLESPERGER I ;:_�" '1IMYON#GG353i78 [ 1 PrqceddentificaonBonded Thru Notary Public Underwriters