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1601 Atlantic Beach ERES18-0333 Cash Register Receipt Receipt Number City of Atlantic Beach R6999 DESCRIPTION ACCOUNT CITY PAID PermitTRAK ERES18-0332 Address: 223 OCEAN BLVD APN: 170194 0000 $60.20 $56.20 ELECTRIC" ELECTRICAL BASE FEE 455-0000-322-1000 0 $55,00 ELEC LIGHTING OUTUM,INCLUDING 455-0000-322-1000 2 $1,20 FIXTURES $4.00 STATE SURCHARGES STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ERESIS-0333 Address: 1601 ATLANTIC BEACH OR APN: 169505 1060 $94.00 $90.00 ELECTRICAL EUECTRICAL BASE FEE 455-0000-322 1000 0 $55.00 ELEC REPAIRS AND MISC 455-0000-322-lonO 0 $35.00 $4.00 STATE SURCHARGES STATE DBPR SURCHARGE 1 700 0 $2.00 STATE DCA SURCHARGE i 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R6999 $154.20 Date Paid; Wednesday, October 10, 2018 Paid By:STUART JONES ELECTRIC INC. Cashier:CB Pay Method; CREDIT CARD 004620 Printed:Wednesdaty,Oct.b�r 10,2018 12:44 PM I Of 1 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES18-0333 ISSUED: 10/10/2018 800 SEMINOLE ROAD EXPIRES:4/8/2019 ATLANTIC BEACH. FL 3223�3 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. FNOTICE: 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. 1601 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL 22KW Generator install $1500.00 TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: ATLANTIC BEACH 1695051060 COUNTRY CLUB UNIT 01 STUARTJONES ELECTRIC 551 CHATHAM STREET,#1 JACKSONVILLE FL 32254 INC OWNER: - ADDRESS: CITY: STATE: ZIP: TOLL FIL VI LIMITED 250 GIBRALTAR RD HORSHAM PA 19044 PARTNERSHIP N E I n add, OTC th at may be fou go�B mmental 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 ORAN 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 ELEC REPAIRS AND MISC 455-WOO 322 10M a $35.00 L C",CAL A -"' -CCLC-322 1000 0 $55T)0 ELECTRICAL BASE FIE 455 $2.00 'T T BE 'URC -07W 0 STATE DEER SURCHARGE 455 0000 208 0 "N Be STATE DCA SURCHARG E issued Date:10/10/2018 1 of 2 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBE CITY OF ATLANTIC BEACH ERES18-0333 ISSUED: 10/10/2018 800 SEMINOLE ROAD EXPIRES 4/8/2019 ATLANTIC BEACH. FL 32233 FTOTAL,$94 00] issued Date: 10/10/2018 2 of 2 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Sernincile Rd,Atlantic Beach,Fl,32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: I(po( AflaA44r, B,-ce-k Dr. )iM0j*i C', 612h, EL a2=1`E"rr# JEA INFORMAT I ION REQUIRED ON ALL PERMITS 2!�10 AMPS 240 VOLTS PHASE VALUEOFWORKS 6DO NEW SERVICE El Overhead Underground D Underground up Pole LResidential(Main)Service CIO-100 amps 0101-150araps rl 151-200hamps 0—araps #of Meters 0 Commercial(Main)Service CIO-100 amps E1101-150hamps 0ISI-200amps D—MPS I ICT SeMcc_anips Conductor Type_ Si=— CiMulti-Family(Main)Service UO-1 00 amps L1101-150amps 11 151-200amps D maps #of Unit Meters FiTemporary Pole U—sillps SERVICE UPGRADE D—MPS D CT Service_maps NEW FEEDER(ADDMONS,ACCESSORY STRUCTURES,ETC.) [3100amps [315(hemps U200amps 0-----MPS OCT Service_amps ADDITIONS,REMODEM REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: —0-30amps 31-100amps —101-200amps Appliances: —0-30amps 31-100amps 101-200amps AICCircuits: , —0-60amps —61-100amps Heat Circuits: # circuits g---kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS USwinaningPool USip DSmokcDctcctms_Qty [1Transformers_KVA L]Motors—hP FIRE ALARM SYSTEM (Requires 3 sets of plams) Qty—voltslamps— VALUE OF WORKS REPAIRS/MISCELLANFOUS DReplace BurrulDamaged Meter Can JSafaty Inspection []PanelChange 11OHtoUG ,jother: I'MW 6cnera+Dk -1maWl EWNEEM� six mandis. I hereby matify thet I have i5ennit beexones void if work does not earmseeme within a six mad,period or=777a wark will be coinpliod with whether mad this applioation and larow,the saine W be me and cooOaL All previsions speoiflod or not The perint does not give authority to violate the previsions of my other state or local law regulation wastruction or the puf0mance Of constriction. Property Owners Name RDhin elr--4�p Phone Numlie, 4 33 Electrical Company ae+- U-Dnf..� E.fecFri'e,.ZlICOfficePh..e9:L�Li�OlI )Fax— Co.Address: L.0'33�E Pi'�41"PL 14WV City—ja&5kj1v'&t-state r-L Zipl= t): ar+- nf's stat # Uranse Holder(Print 0 a Certification/Registration -AJ- Ider r 201f� L F11 i at, - li Swoon and subscribed before me this day of state of Flo 257 COOOissil 0 �Olms my com '. s m 17,2022 Signature of Notary Public.���