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278 Seminole ERES18-0349 >+ ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES18-0349 800 SEMINOLE ROAD ISSUED: 10/19/2018 ATLANTIC BEACH. FL 32233 EXPIRES:4/17/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONs OF • • •A BUILDING CODE, AND CITY OF • • 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 at y be found in the public records of this county,and there may be additional permits required from other vemental entities such as water management districts,state agencies,or federal agencies. O. Ar . . . • OF • • 278 SEMINOLE RD ELECTRICAL RESIDENTIAL 200 Amp 240 Volt New $1000.00 Service TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170512 0000 SALTAIR SEC 01 COMPANY: ADDRESS: Atlantic Coast Electrical P.O. BOX 272 HILLIARD FL 32046 Contractors, I • ADDRESS: LAGNER JENNIFER A 278 SEMINOLE RD ATLANTIC BEACH FL 32233-4143 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. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT FLEE NEW SINGLE FAMILY 455-0000-3111000 200 $70,00 ELECTRICAL BASE FEE 4550000322-1000 0 $55.00 STATE BEPRSURCHARGE 455-0000108-07M 0 SIM STATE OCA SURCHARGE 455-0000-208-0600 0 $2'w TOTAL:$129.00 Issued Date:10/19/2018 1 of 2 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES18-0349 ISSUED: 10/19/2018 80NTICBE CH.OLE ROAD EXPIRES:4/17/2019 '•'n� ATLANTIC BEACH. FL 32233 Issued Date: 10/19/2018 2 of 2 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 ��y/ p o. p Ph(904) 247-55826 Fax(904)247-5845 a)E S($ —b3 qq JOB ADDRESS: n?/ SQtiL II- Y-e (,t PERMIT#RP$ /F--O3a1 JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS !2 0 VOLTS PHASE VALUE OF WORK$ D 0lJ NEW SERVICE ❑ Overhead ©Underground ❑l Underground up Pole ❑Residential(Main)Service 110-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters ❑Commercial(Main)Service ❑0-100 amps 11101-150amps E1151-200amps ❑ amps ❑CTServiceamps Conductor Type Size ❑Multi-Family(Main)Service E10-100amps E1101-150amps - [1151-200amps ❑ amps #of Unit Meters_ ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 0150amps 0200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 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: OTHER ELECTRICAL PROJECTS ❑Swimming Pool [] Sign ❑Smoke Detectors_Qty ❑Transfomters KVA ❑Motors_hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Bumt/Damaged Meter Can. El Safety Inspection ❑Panel Change ❑OH tc UG ❑Other. 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 stale or local law regulation construction or the performance of construction. It Property Owners Name G�¢-G L e� �^ '�"e"'` Phone Number Electrical Company *"T6/f;'`-TLS Gei}�— `' OfficelI ''Phone2/f '�/( Fax Co.Address: eO 0 , 6 ' 5X 2� 2 City !�- l StatcA( Zip3J-11/( License Holder(Print): A. State Certification/Registration# Notarized Signature o [der //pQ y,WEO.suAra Sworn and subscribed befo a this� � � 20� :��" �`p'i. Er/COMIAISSIONWGG 255331 I owmEs sacie�5p�„�„ans Signature of Notary Public `:'. �'�rdaamaaamr