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1900 Seminole Rd ERES23-0220 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: WOOTEN DANIEL MATTHEW 1900 SEMINOLE RD ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169527 0010 SECTION LAND JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1900 SEMINOLE RD ELECTRICAL RESIDENTIAL ELECTRIC FOR ADDITION $2500.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $2.00 ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 22 $13.20 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: $74.20 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: 9/21/2023 PERMIT NUMBER ERES23-0220 ISSUED: 9/21/2023 EXPIRES: 3/19/2024 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 9/21/2023 PERMIT NUMBER ERES23-0220 ISSUED: 9/21/2023 EXPIRES: 3/19/2024 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Electrical Permit Application ALL INFORMATION HIGHLIGHTED IN 1,,,,,,,,' ' _, ,f City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 c rPhone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ER S23-07 JOB ADDRESS: 1900 Seminole Rd.,Atlantic Beach, FL 32233 PROJECT VALUE $$2,500.00 JEA INFORMATION REQUIRED ON ALL PERMITS: 100 AMPS 240 VOLTS 1 PHASE NEW SERVICE: ©Overhead ®Underground DUnderground up Pole Residential (Main)Service: 00-100 amps ®101-150amps 0151-200amps 0 amps of Meters JCommercial (Main)Service: 00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size DMulti-Family(Main)Service: 00-100 amps 0101-150amps 0151-200amps 0 amps of Unit Meters fl TEMPORARY POLE: amps 0 SERVICE UPGRADE: 0 amps OCT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps 0150amps 0200amps 0 amps CT Service amps Ir I ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: 12 0-30amps 31-100amps 101-200amps Appliances:1 0-30amps 31-100amps 101-200amps A/C Circuits:0-60amps 61-100amps Heat Circuits:circuits @ kw Number of Lighting Outlets, Including Fixtures: 10 OTHER ELECTRICAL PROJECTS: Swimming Pool OSign RSmoke Detectors Qty) ['Transformers KVA ['Motors HP 1 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 tether: 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: Daniel Wooten Phone Number: (352)219-5601 Electrical Company: N/A Office Phone: Fax: Co.Address: 19 00 y..•,;ne(c /2-rf.City: 44%.,-1;c. &4c4 State: n. Zip: 322?3 License Holder: State Certification/Registration#: Al%Notarized Signature of License Holder In 1,4---- The foregoing instrument was acknowledged before me this ( day of•, Jjn t e State of Florida, County ph 4:„` c' TONI GINDLESPERGER Signature of Notary Public ez. MY COMMISSION#GG 353178 a EXPIRES:October 6,2023 Personally Known OR[ ] Produced Identification 7.- d Bonded Thru Notary Public Under,,.p .sT y P e of Identification: Owner Builder Affidavit ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 523 -, I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/ BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. . III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA"CONTRACTORS CERTIFICATE"TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. CONTACT THE BUILDING DEPARTMENT(904- 247-5826 OR BUILDING-DEPT@COAB.US) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Job Address: /9 /7 b Sc ,,r),-,, e(c 1`-J l ( 1-04....-h--c. 6e4 ct J fG ?Z Z 3 3 Owner Name: Q*.' e( (n/be ---e-. Phone Number: 352-2/9-S6a( Mailing Address: 5a mC as Above- City:State: Zip: Notarized Signature of Owner107-e T Theo oing instru ent was acknowledged before me this(>L day of c , 2023in the State of Florida, County of 0 V c. 91CLA ___Signature of Notary Public Qi Personally Known OR [ ] Produced Identification Type of Identification:t____ c.:'.'Ste',s7,,, TONI GiNDLESPERGER Updated 10/24/18 i.‘ •,,: MY COMMISSION#GG 353178 1."•::•,..-'• b/ EXPIRES:October 6,2023 o.f;:e'‘ Bonded Thru Notary Pubic Underwriters