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405 Skate ERES18-0395 svc. upgrade permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER ERES18-0395 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 11/28/2018 I rui'119 ATLANTIC BEACH. FIL 32233 EXPIRES: 5/27/2019 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: 405 SKATE RD ELECTRICAL RESIDENTfAL 200 amps/240 volts/single- $800.00 phase - svc. upgrade & reno TYPE OF REALESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1715300000 ROYAL PALMS UNIT 02A3.00 COMPANY: ADDRESS: CITY: STATE: ZIP: JAX ELECTRICAL 1839 LANE AVE SUITE 110 JACKSONVILLE FL 32210 CONTRACTING INC OWNER: ADDRESS: CITY: STATE: ZIP: PHILLIPS ALFRED C 405 SKATE RD ATLANTIC BEACH FL 32233-3821 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. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC REPAIRS AND MISC 45S-0000-322-1000 0 $35.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELECTRICAL ROUGH 12/06/2018 RBE 45500003221002 0 $55.00 STATE DBPR SURCHARGE 4S5-0000-208-0700 0 $2.00 Issued Date: 11/28/2018 1 of 2 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER ERES18-0395 CITY OF ATLANTIC BEACH ISSUED: 11/28/2018 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 5/27/2019 STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00 TOTAL:$149.00 Issued Date: 11/28/2018 2 of 2 **ALL INFORMATION Revision Request/Correction to Comments HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd,Atlantic Beach,FL 32233 Phone:(904)247-5826 Email:Building-Dept@coab.us PERMIT#:ERES1 B-0395 Revision to Issued Permit OR Corrections to Comments Date:04/10/2019 Project Address:405 Skate Rd Contractor/Contact Name:Jax Electrical Contracting Inc Contact Phone:(904)483-8384 Email:paulckeane@gmaii.com Description of Proposed Revision Corrections: 200 amp service upgrade 1 phase 3 wire 240 volts I Jax Electrical Contracting Inc affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) f—I lcron't Will proposed revision/corrections add additional square footage to original submittal? F INo M- Yes(additional s.f.to be added: 11 proposed revi5ion/corrections add additional increase in building value to original submittal? o E]'Yes(additional increase in building value:$ 1contractor—t s,gn if—re—in valuation) *Signature of Contractor/Agent: (Office Use Only) Approved Denied Not Applicable to Department Permit Fee Due Revision/Plan Review Comments Department Review Required: Building Planning&Zoning Reviewed By Tree Administrator Public Works Public Utilities Public Safety Date Fire Services Updatedlf)117118 .�mt- 71 Cash Register Receipt Receipt Number N City of Atlantic Beach R8755 DESCRIPTION ACCOUNT Y PAID QT PermitTRAK $50.00 ERES18-0395 Address: 405 SKATE RD APN: 171530 0000 $50.00 ELECTRICAL $50.00 ELEC SERVICE CHANGE 4S5-0000-322-1000 200 $50.00 TOTAL FEES PAID BY RECEIPT: R8755 $50.00 Date Paid:Tuesday, April 16, 2019 Paid By:JAX ELECTRICAL CONTRACTING INC Cashier: CT Pay Method: CREDIT CARD 114889 Printed:Tuesday,April 16,2019 12:49 PM 1 of 1 Cash Register Receipt Receipt Number City of Atlantic Beach R7484 0 — — I DESCRIPTION ACCOUNT CITY PAID PermitTRAK $94.00 ERES18-0395 Address:405 SKATE RD APN: 171530 0000 $94.00 .00 EUECTRICAL EtECTRICAL BASE FEE 4ss-oaO�322-1r, D 0 $55 Do ELEC REPAIRS AND MISC 455-000D322-1000 0 9 on STATE SURCHARGES $4.DD $2.00 STATI DBPRSURCHARGE 455-ONO-208-0700 0 STATE DCA SURCHARGE 455-00�208-0600 0 $' TOTAL FEES PAID BY RECEIPT: R7484 $94.00 Date Paid: Wednesday, November 28, 2018 Paid By:JAX ELECTRICAL CONTRACTING INC Cashier:CB Pay Method:CREDIT CARD 154637 Printed:Wednesday,November 28,2018 4:52 PM 1 Of I ELECTRICAL RESIDENTIAL PERMIT PERMITNUMBER CITY OF ATLANTIC BEACH ERES18-0395 'D 800 SEMINOLE ROAD ISSUED: 11/28/2018 (511 EXPIRES: 5/27/2019 ATLANTIC BEACH. FL 32233 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WIRK MUST Cf%'FIR7.�t TI TRE CURRENT fT54-C-1)ITI1V—W17) 4�F TYE FLOVH1 .�— VG CODE, NEC, IPIMC, 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 applicableto 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,orfecleral agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 405 SKATE RD ELECTRICAL RESIDENTIAL Wiring for Renovation $800.00 TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: ROYAL PALMS UNIT 1715300000 02A3.00 COMPANY: ADDRESS: CITY: STATE: ZIP: JAX ELECTRICAL 1839 LANE AVE SUITE 110 JACKSONVILLE FL 32210 CONTRACTING INC OWNER: ADDRESS: CITY: STATE: ZIP: PHILLIPS ALFRED C 405 SKATE RD ATLANTIC BEACH FL 32233-3821 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 Q NTITY PAID AMOUNT ELEC REPAIRSAND MISC 455 0000 322-1000 0 $35.00 ELECTRICAL BASE FEE 455 0000 322-1000 0 $55,00 ITATE 081A SURCHARGE 451 OOW-208-OIM 0 12,00 STATE DCA SURCHARGE 455 0000 208-06W 0 $200 TOTAL:$94.00 Issued Date: 11/28/2019 1 of 2 "ALL INFORMATION Electrical Permit Application HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED 800 Seminole Rd, Atlantic Beach, FL 32233 Ke sh IS- 0 6/ Phone: (904) 247-5826 Email: Building-DepticDcoatI.Lia PERMIT#:.MESIa-03 JOB ADDRESS:405 Skate Rd PROJECT VALUE$$ 800-00 JEA INFORMATION REQUIRED ON ALL PERMITS:LDO AMPS I VOLTS 3 PHASE NEW SERVICE: E3 Overhead MUndentrourld [3Underground up Pole Mesidential(Main)Service: M100amps E3101-150amps [3151-200amps 0—amps If of Meters ElCommencial(Main)Service: [30-100 amps 13101-150amps [3151-200amps 0 amps M Service_amps Conductor Type_Size CIMulti-Family(Main)Service: 03-100 amps C3101-150amps C]ISI-200amps 1771 mps If of Unit Meters TEMPORARY POLE: amps SERVICE UPGRADE:0 mps 0CT Service_amps F-1 NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.): 0100amps 0150amps 0200amps [3 amps [3CTSeNice_amps ADDrnONS, REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: _31-100amps —101-200amps Appliances: -30amps 31-100amps 101-200amps A/C Circuits: -60amps _____61-100amps Heat Circuits: _#circuits @ kw Number of Lighting Cutletso Including Fixtures: El OTHER ELECTRICAL PROJECTS: []Swimming Pool[]Sign OSmoke cletectors_icity) OTransformers—KVA OMotors_HP FIRE ALARM SYSTEM (Requires 3 sets of plans): City—wits/amps r6i REPAIRS/MISCELLANEOUS: oReplace Burnt/Damaged Meter Can []Safety Inspection UanelChange [10H to UG updni EOther:Wire addition for master bed and bath and mi in kitchen permit bectroses wid if work does not ciananni within a six month Period or work is suspended or abandoned for six months. I hereby Canny that I haw mad this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be o0raphed!with whether spools ad or mt. The permit does not give authority to volarts the Provisions of any other state or local law regulation construction or the Performance of construction. Owner Name: 13,eat I willso.I ftAA_ tL; Phone Number: (904)203-5860 Electrical company:Jas Electrical Contraci Inc .)aaaaass Fai Co.Add ress:2017 Lane Ave 8 City: jaclackwille State: FL Zip;32210 License Hokler: Paul Keane State Certification/Registration, EC13WSSW NotorizedSignotare oftivemse Holi 7 The foregoing instrument was acknowledged before me this DIP day of J,M, 01 in I Florida,County of —i—WaA 116"1101111121t Signature of Notary Public -Personally Known OR[ I Produced Identification compasi st""743 EXPIRES May 14, 2019 kf �AMMOTMY� Type of Identification: