2369 Seminole ERES18-0404 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0404
800 SEMINOLE ROAD ISSUED: 12/3/2018
ATLANTIC BEACH. FL 32233 EXPIRES:6/1/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALLCONDITIONSOF PERMITAPPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there maybe 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.
• • • . r • . • • • •
2369 SEMINOLE RD ELECTRICAL RESIDENTIAL Electrical for Remodel $1900.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
• • GROUP:
1684410060 ATLANTIC TOWERS
CONDOMIUM
COMPANY: ADDRESS:
ALL AMERICAN ELECTRICAL 4541 St Augustine RD STE 4 JACKSONVILLE FL 32207
OF NORTH FLORIDA
OWNER:-- ADDRESS:
Hope Van Nortwick 2369 SEMINOLE RD ATLANTIC BEACH FL 32233
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.
7,�TATEDBPRSURCHARGE
ESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
REPAIRS AND MISC 455-0000-322-1000 0 $3500
CTRICAL BASE FEE 455 0000 322-1000 0 $5500
455-0000-208-0200 0 $200
STATE DCA SURCHARGE 455-0000-208-06M 0 $200
TOTAL:$94.00
Issued Date: 12/3/2018
y Electrical Permit Application "ALL INFORMATION HIGHLIGHTED IN
- City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 L�S (&� — U l
\ /�Phone: (904) 247-582266 Email: Building-Dept coati us PERMIT#Alt
JOB ADDRESS:r)5l,L01 'SQ,t(Y�1r tt -0 � PROJECTVALUE$ IqACX)r Q
JEA INFORMATION REQUIRED ON ALL PERMITS:9—PD AMPSOA-13 VOLTS I PHASE
❑NEW SERVICE: ❑Overhead OUnderground []Underground up Pole
MResidential(Main)Service:
DO-100 amps C1101-150amps E3151.200amps 13 amps #of Meters
OCommerclal(Main)Service:
DO-10o amps 0101-150amps 0151-200amps E] amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
D D-100 amps 0101-150amps 0151-200amps 13 amps If of Unit Meters_
❑TEMPORARY POLE:_amps
i
❑SERVICE UPGRADE:❑ amps OCT Service_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
E31DOamps 0150amPs E3200amps 0—amps ❑CTService_amps
❑ADDITIONS,REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches:_0-30amps 31-100amps _101-200ampsrxrorl
Appliances: 0-30amps 31-100amps _101-200amps 0 Cb
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @_kw , 1 �l r15Number of Lighting Outlets, Including Fixtures: 1---r
OTHER ELECTRICAL PROJECTS:
OSwimming Pool❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
❑FIRE ALARM SYSTEM (Requires 3 Sets of plans):
Qry volts/amps
PAIRS/MISCELLANEOUS: Civ"
lace Burnt/D@maggeSMee��eer Can ❑Safety Inspectionanr'etlr h_ange OH to UG . r/An
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YAr1 Vfl12 t,wt� O�,JYIY+ uodorcd tan>iia
Permit becomes void if work does nctcommence within a six month period or work is suspended or abandoned for six months. thereby certify that lhave
mad this application and know the same to be true and correct. Ali provisions of laws and ordinances governing this work will be complied with whether
spec'fiied or not, The Mmnit does not of •authority to violate the provisions of airy other state or local law regulation construction or Me Performance of
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Owner Name:_-_ _ F� �zG✓� t�1'DY Phone Number:9
QfoElectrical Company:) In Office Phone: �,J Fax:
Co.Address Y.O. �I City: .v ISSttat�ea�2 Zip �-7-� 7 '
License Holder. State Certification/Registration#:C.EL-r
NatorizedSignoture of License Holder «dTrt��,r�— �,/ p�
Th ed before methisp�.�d3µpf�O�/Qa'nFJ*RO�V in the State of Florida,County of�l�
A..j . ERICA N NUFFMAN
Ah t-1 My commissIcN•FraaZrl6 Sign re of Notary Public VIdC
E%PInEB Apn111,Ieaa
Personally Known ORI 1 Produced Identification
Type of Identification:
gid' . j oCash Register Receipt
Receipt 1 Number
City of Atlantic Beach R75
DESCRIPTION ACCOUNTCITY PAID
PermitTRAK $94.00
ERES18-0404 Address: 2369 SEMINOLE RD APN: 1684410060 $94.00
ELECTRICAL $90A0
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35,00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0004208-0700 0 $2A0
STATE DCA SURCHARGE d55-OOOU208-0600 0 $2.00
TOTAL / BY RECEIPT: R7503 $94.00
Date Paid: Friday, November 30,2018
Paid By: ALL AMERICAN ELECTRICAL OF NORTH FLORIDA
Cashier: CB
Pay Method: CREDIT CARD 92134 �pw
Printed:Monday,December 03,20188:00 AM 1oft t�1