404 OCEANWALK DR S - ELECTRIC BONIS ROOM rS`--'`'r, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH
ERES18-0394
'v . ISSUED: 11/21/2018
�.// 800 SEMINOLE ROAD
''�O'i„`•
r ATLANTIC BEACH. FL 32233 EXPIRES: 5/20/2019
i
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:
404 S OCEANWALK DR ELECTRICAL RESIDENTIAL ELECTRICAL 8 FIXTURES $100.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169463 0524 OCEANWALK UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
FLANAGAN WILLIAM J JR 404 OCEANWALK DR S ATLANTIC BEACH FL 32233-4573
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.
I
I DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 8 $4.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $63.80
Issued Date: 11/21/2018 1 of 1
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904 247-5826 Fax(904)247-5845 C k) `O —0374
JOB ADDRESS: a
o -reef h r S. • PERMIT# 7
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$ 1Q<
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
1 0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps 0 C Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps L! 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: 8
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/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑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. /
7ElecProperty Owners Name Wt//6"""" r74.- `'"`' Phone Number BK-7—/�/1 e —07'71--
Electrical
trical Y �(}� �Company J Office Phone Fax
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Co.Address: �� City State Zip
License Holder(Print): l9�•v' 'El State Certification/Registration#
Notarized Signature of License Holder
•
--70N!GINDLESPER'�Ea t worn and subscribed before m, l day f fw 20( 8
' MY COh1MISSION#FF 92495
�: '= ignature of Notary Public • / c_� `
• ,,. = EXPIRES:October 6,2019
<sr„ ;$ Bonded 7hru Nota Public Underwr�?ers
�, Notary
Doc#2018274597,OR BK 18604 Page 1513,
Number Pages: 1
Recorded 11/21/2018 09:42 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL
NOTICE OF TERMINATION COUNTY
RECORDING $10.00
Building Permit No. (Zci° I'l — 02,4 0 Tax Folio No.
State of Florida
County of Florida,
County L Q
The Undersigned hereby give Notice of Termination of the Notice of Commencement record on N 0V V. 14 ,20Sd'I(ain Official
Records Book_(Z 0,4.1 .-d 14Oat Pam, * ' of the Public Records of_ . LOv4(.. County,Florida.
L. S 81.00 . 0 i 23 ' : o/)44_.F F'r►. 3 Z.3.3
1. Description of Property(site address also; I �. ,,r
2. General Description of Improvements: !"6, / fQ �`�� �/�'Y✓/ b I�l'-►c ii /
3. Owner Information: 1 f
ix
a. Owner address: `, . J�J L2,1Cp6yI'e? if K,(.
b. Interest in Property MM'1 L/ �'` t�
4. Contractor: 4��JPP S )3.1 i I�1.ars Z-L-- 94 L 060141 8 t 1/ r ,9}-/. 31,33
5. Surety:
a. Name and address
b. Amount of Bond$
6. Lender Information:
a. Name and Address:
b. Designated Contact:
7. Persons within the State of Florida designated by Owner upon whom notices of other documents may be served as provided
by Section 713.13(1)(b),Florida Statutes.
Name and Address:
8. In addition to himself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.(1)(b),Florida Statutes.
9. Expiration date of Notice of Commencement(the expiration date is One(1)year from the date of recording unless a different
date is specified). Expiration date:
10. Pursuant of Florida Statutes Section 713.132,the Notice of Commencement is terminated as of the day of
200 (but no less than days after the Notice of Termination is recorded). I
11. This Notice of Termination applies to all real property subject to the Notice of Commencement except: kVA
12. To the best of Owner's knowledge,all lienor's have been paid in full. A copy of the Contractor's Affidavit is attached.
13. A copy of this document is being provided to the Contractor and to anyone who had provided Owner of its designee with a
I/Notice to Owner as provided in Florida Statutes Section 713.06(2)(c)(d).
,k1() 14
Owner's Name nt) Signa e ,•er
Owner's Name(Print) Signature of Owner
State of Florida,County of U X0\
Sworn to and subscribed b fore me the an_A/01/
dggrsigned authority,by the Owner/ ers who is/are personally known to me or who produced \){-\lit(- t I C t' 45
e.
As identification,this "I day of I V Q 1/the-11D t'1 20 1'
1 Ona 13SOt (.d rJ sd1vP�
Nota Public ;,R,. 4;0: MARISSALORDA
rY 0 n l D a- • : MY COMMISSION#GG 228145
MyCommission Expires: �; '*`
P :,, z A EXPIRES:June 12,2022
•.FOF Ft°'' Bonded 7hru Notary Pubic Underwriters