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375 3rd ERES18-0350 ELECTRICAL RESIDENTIAL PERMIT PERMITNUMBER CITY OF ATLANTIC BEACH ERE518-0350 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 ISTH EDITIONr OF • • •A BUILDING CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF 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. • . ADDRESS: 375 3RD ST ELECTRICAL RESIDENTIAL $3500.00 TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: • • GROUP: 1698240015 ATLANTIC BEACH COMPANY: DD PHASE ONE ELECTRIC LLC 2076 CORONA CT JACKSONVILLE FL 32224 • ADDRESS: GOLOMBEK ELLEN JOAN 2001 LINCOLN ST UNIT 1524 DENVER CO 80202 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. PAIDAMOUNT ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000.322-1000 10 $6.00 EIECREPAIRSANDMISC 455-0000-322-1000 0 $35.00 ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $6m ELECTRICAL BASE FEE 455-0000-322-1000 0 $55,00 STATE D8PR SURCHARGE 455-0000-208-0700 0 $2m STATEOCASURCHARGE 455-0000.208-0600 0 $2,00 TOTAL:$106.00 Issued Date. 10/19/2018 1 of 2 ""• ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERE518-0350 800 SEMINOLE ROAD ISSUED: 10/19/2018 ATLANTIC BEACH. FL 32233 EXPIRES:4/17/2019 Issued Date10/19/2018 2 of 2 ELECTRICAL PERMIT APPLICATION KC S I`6- 03'15 CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 L /C_0356 JOB ADDRESS: Z�I S 3 C& Sk PERMIT# o JEA INFORMATION REQUIRED ON ALL PERMITS ( S 0 AMPS 1010 VOLTS PHASE VALUEOFWORK$ 3SOU .00 NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole ❑Residential(Main)Service 110-100amps 0101-150amps 0151-200amps Damps of Meters ❑Commercial(Main)Service 00-100amps 0101-150amps 0151-200amps ❑ amps ❑CTServiceamps Conductor Type Size ❑Multi-Family(Main)Service [10-100amps E1101-150amps 0151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUII.D-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 10 0-30amps 31-100amps 101-200amps Appliances: =0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits (a3 kw Number of Lighting Outlets, Including Fixtures: I O OTHER ELECTRICAL PROJECTS ❑Swimming Pool [] Sip []Smoke Detectors_Qty ❑Transformers KVA ❑Motomhp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK S REPAIRS/MISCELLANEOUS ❑Replace Bumt/Damaged Meter Can ❑SafetyInspection Panel Change ❑OH to 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 state or local law regulation construction or the performance of construction. 1{.� /; / //� ! ^� Property Owners Name �� IIN_n Go �o ev\bek Phone Number 004' 6d(P—!q&d Electrical Company r cV'srr- 00 e. E ke'Orc I Office Phone944-d3.a—Bdle3F'ax Co.Address: 0207(0 G6f01`,r9 0- City Sa.R state rL zip zy License Holder (Print): "j LlS to Certifioa on/Registration#CC130o53sr- Notarized Signature of License Holder J ME o.sWlrll worn and subscribed before me this_l 0 20 Alyl'OnaL5510NY GG 255331 �rc a::a`�, ssepta,cers,2022 Signature of Notary Publiclow raomae,haaarrwe��narm:.,..