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1810 SELVA GRANDE DR ERES18-0416 ELECTRICAL RESIDENTIAL PERMIT ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER � ERES18-0416 CITY OF ATLANTIC BEACH �~ 800 SEMINOLE ROAD ISSUED: 12/17/2018 uri19, ATLANTIC BEACH. FL 32233 EXPIRES: 6/15/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' • ' • OF ATLANTIC BEACH CODE • ORDINANCES . ALL CONDITIONS • PERMIT • • • PLEASE l • j , 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: 1810 SELVA GRANDE DR ELECTRICAL RESIDENTIAL ELECTRIC- 8 FIXTURES $1952.00 TYPE OF ZONING: : • • • • GROUP: 169542 5004 SELVA TIERRA COMPANY: ADDRESS: E3 ELECTRIC OF NE FL INC 5605 FLORIDA MINING BOULEVARD JACKSONVILLE FL 32257 • ADDRESS: CARPER RICKY L 1810 SELVA GRANDE DR ATLANTIC BEACH FL 32233-4526 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 LIGHTING OUTLETS,INCLUDING FIXTURES 4SS-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 4S5-0000-208-0600 0 $2.00 TOTAL: $63.80 Issued Date: 12/17/2018 1 of 2 Electrical Permit Application "ALL INFORMATION HIGHLIGHTED IN �/j" 'J.' City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 (� /�- �/Q Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: C (ZGJt8-041k JOB ADDRESS: 1810 Selva Grande Drive PROJECT VALUE$$ 1,952.00 JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE © NEW SERVICE: 11 Overhead ❑Underground []Underground up Pole Mesidential(Main)Service: ❑0-100 amps 0101-150amps [1151-200amps [_amps #of Meters ❑Commercial(Main)Service: ❑0-100 amps 0101-150amps 11151-200amps ❑ amps ❑CT Service amps Conductor Type Size []Multi-Family(Main)Service: [10-100 amps [1101-150amps [1151-200amps []_amps #of Unit Meters ❑TEMPORARY POLE: amps SERVICE UPGRADE: ❑ amps ❑CT Service amps ❑ NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps ❑150amps ❑200amps ❑ amps [ICT 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 ❑ REPAIRS/MISCELLANEOUS: ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change []OH to UG ❑Dther: Updated 10/17/18 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. Owner Name: Ricky Carper Phone Number: Electrical Company: E3 Electric of NEFL Office Phone:a8"m —Fax:886-0333 Co.Address: 5605 Florida Mining Blvd#210 City: Jacksonville State: FL Zip: 32257 License Holder: Ra mond Pasukinskl State Certification/Registration#: EC13005820 Notarized Signature of License Holder A&410K The foregoing instrument was acknowledged before me this 1"4day of O-UJ-f'IW, [A in the State of Florida,County of OA V rl I ":a+"%a•, JENNIFER JOHNSTON Signature of Notary Public - o MY COMMISSION#GG 042984 EXPIRES:October 27,2020 [ ) Personally Known OR roduc d Identification S� - ;•'' Bonded ThruNotary Public Underwriters Type of Identification: - 1- t J g-f S �'L-