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2400 SEMINOLE RD - POOL HOUSE, ELECTRIC ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER r. CITY OF ATLANTIC BEACH ERES18-0372 .� ISSUED: 11/2/2018 800 SEMINOLE ROAD \ � !,• ATLANTIC BEACH. FL 32233 EXPIRES: 5/1/2019 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. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: POOL HOUSE - 200A, 200V, 3 2400 SEMINOLE RD ELECTRICAL RESIDENTIAL PHASE $10000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 168354 0000 SECTION LAND COMPANY: ADDRESS: CITY: STATE: I ZIP: SHANLEY ELECTRIC 15215 CERISE AVE GARDENA CA 90249 OWNER: ADDRESS: CITY: STATE: j ZIP: GATSBY LAND TRUST 839 PONTE VEDRA BLVD PONTE VEDRA FL 32082 BEACH 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 ELEC MINIMUM FEE 455-0000-322-1000 0 $55.00 ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $94.00 Issued Date: 11/2/2018 1 of 2 v 1e / SELECTRICAL PERMIT APPLICATION I�o v C 06r. CITY OF ATLANTIC BEACH 1,- O US 800 Seminole Rd, Atlantic Beach,FL 32233 z4C CGer Pha (904) 247-5826 Fax(904)247-5845 r:k S(O -p 3' 7z JOB ADDRESS: - �., Sff)-,/ A-/Le PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS ape.) AMPS VOLTS 3 PHASE VALUE OF WORK$ /0i00 O NEW SERVICE Ai Overhead El Underground TT Underground up Pole ❑Residential(Main) Service ❑0-100 amps 0101-150amps 41 151-200amps ❑ 2040 amps #of Meters ❑Commercial(Main)Service ❑0-100 amps 0101-150amps ❑151-200amps 0 amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps 0101-150amps ❑151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ ,OO amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-3 Damps 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 ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/NIISCELLANEOUS ❑Replace Burnt/Damaged Meter Can. ❑Safety Inspection ❑Panel Change ❑OH to UG ❑Other: 0 ( qz- .x,1 - ©d Ho0,5E- PermitOE- 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__& .____S.- 72,(_ ±,_., 41________ Phone Number(.960 2/f',- 3.i& Electrical Company S 9, - Ab '/F C7'rt'< Office Phon "2'27-,fa/r Fax Co.Address: a92 9'---/-, City g71/4-7/‹._ � states Zip 3.123:-/ License Holder(Print): P/ ,1/ Jr s�r Z /C/` _ State Certification/Registration#E /3Oveag2 Notarized Signature of License Holder / Sworn subscribed before me , s z 41. o Q©►� 20 1 ( ).,-1 y MYCOMMISSIpN#FFgp4951 Signature of Notary Public Al ,, ' EXPIRES:Octob Bonded Thru ho October 6,2wIt �ry Pub,lc Undery�;ters