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574 N Nautical Blvd ERES18-0140 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP: CARR GREGORY A TRUST 574 NAUTICAL BLVD N ATLANTIC BEACH FL 32233-4119 COMPANY:ADDRESS:CITY:STATE:ZIP: AMERICAN ELECTRICAL CONTRACTOR 5065 ST AUGUSTINE RD APT 13 JACKSONVILLE FL 32207 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170703 0352 SEASPRAY JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 574 N NAUTICAL BLVD ELECTRICAL RESIDENTIAL 150 AMP PANEL CHANGE, HOOKUP 2.5 TON A/C 5KW HEAT - Renewed $2000.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $109.00 ELEC SERVICE CHANGE 455-0000-322-1000 150 $50.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0600 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: 5/11/2018 PERMIT NUMBER ERES18-0140 ISSUED: 5/11/2018 EXPIRES: 7/9/2024 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 STATE DCA SURCHARGE 45500002080700 0 $2.00 TOTAL: $218.00 2 of 2Issued Date: 5/11/2018 PERMIT NUMBER ERES18-0140 ISSUED: 5/11/2018 EXPIRES: 7/9/2024 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC_ BEACH, FL 32233 J131'' INSPECTION PHONE LINE 247-5814 ELECTRICAL RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ERES18-0140 Description:150 AMP PANEL CHANGE, HOOKUP 2.5 TON A/C 5KW HEAT Estimated Value: 2000 Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 574 N NAUTICAL BLVD RE Number:170703 0352 PROPERTY OWNER: Name: CARR GREGORY A TRUST Address: 574 NAUTICAL BLVD N ATLANTIC BEACH, FL 32233-4119 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AMERICAN ELECTRICAL CONTRACTOR Address: 5065 ST AUGUSTINE RD APT 13 5065 ST. AUGUSTINE RD#13 JACKSONVILLE, FL 32207 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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. 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. A notice of Commencement is only required for work exceeding an estimated value of 2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC PEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(9/04)247-5826 Fax (904)2447-5845 JOB ADDREss: PERMIT# Ez o S JEA INFORMATION REQUIRED ON ALL PERMITS 1 AMPS 9 VL1 VOLTS Z FHASE VAL UE OF WORK$ / ex C) r NEW SERVICE Overhead Underground EDUnderground up Pole Residential (Main)Service 00-100 amps G 101-150amps 151-200amps amps of Meters Commercial(Main) Service 00-100 amps 101-150amps 151-200atnps U amps OCT Service amps Conductor Type Size Multi-Family(Main)Service 0-100 amps 101-150amps 151-200amps G amps of Unit Meters Temporary Pole G amps SERVICE UPGRADE amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 150amps 0200amps amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-I00amps 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 VALUE OF WORK•$ REPAMS/1VIISCELLANEOUS Replace Burnt/D//arnaged Meter Can Safety Inspection Panel Change 11 OH to UG 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. Property Owners Name Phone Number lo-/ Electrical Companyain 6k/ ne Fax Co.Address: p l `J7' J l" City State License Holder (Print): f r ate Certification/Registration 4'e(f Notarized StatuAffn i nse Holder NOTARY PUBLIC ESTATE OF FLORIDA Sworn and subscribed befo me s y of 2ylk" w Com-n#cGoaaazSignature of Nota Pub cceExpires2!212021 Notary I RegisterCashReceipt City of Atlantic Beach R4961J DESCRIPTION ACCOUNTQTY PAID PermitTRAK 168.00 ERES18-0136 Address: 1305 SEMINOLE RD APN: 171896 0000 59.00 ELECTRICAL 55.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 55.00 STATE.SURCHARGES 4:00 = STATE DBPR SURCHARGE 455-0000-208 0600 0 2.00 STATE DCA SURCHARGE 45500002080700 0 2.00 ERES18-0140 Address: 574 N NAUTICAL BLVD APN: 170703 0352 109.00 ELECTRICAL 105.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 55.00 ELEC SERVICE CHANGE 455-0000-322-1000 150 50.00 STATE SURCHARGES 4.00 STATE DBPR SURCHARGE 455-0000-208-0600 0 2.00 STATE DCA SURCHARGE 45500002080700 0 2.00 TOTAL FEES PAID BY RECEIPT: R4961 168.00 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 051103/2018 16:24:56 CREDIT CARD MC SALE ARD#XXX)XXXXXXX1482 INVOICE 0007 EQ#: 0007 Batch#: 000790 approval Code: 820297 nay Method: Manual Mode: Online Tax Amount:0,00 Cust Code: Card Code: M SALE AMOUNT 168,00 Date Paid:Thursday, May 03, 2018 Paid By: AMERICAN ELECTRICAL CONTRACTOR CUSTOMER COPY Cashier: CB Pay Method: CREDIT CARD 820297 Printed:Thursday, May 03,2018 4:26 PM 1 of 1 mWr