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332 4TH ST - NEW ELECTRIC SERVICE rs--L`�ri„ ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER `c' 'fr' ERES19-0036 e4. ; CITY OF ATLANTIC BEACH ,v V~ 800 SEMINOLE ROAD ISSUED: ,,-,, , �; EXPIRES: '�;� ATLANTIC BEACH. FL 32233 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: 332 4TH ST ELECTRICAL RESIDENTIAL NEW ELECTRIC SERVICE $20000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169816 0000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: PHASE ONE ELECTRIC LLC 2076 CORONA CT JACKSONVILLE FL 32224 OWNER: ADDRESS: CITY: STATE: ZIP: JOOST STEPHEN 10743 WAVERLY BLUFF WAY JACKSONVILLE FL 32223 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 w. Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 111111111111.1111111111111111111111.11.11111111 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00 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:$129.00 Issued Date: 1 of 2 1L/„„'' Electrical Permit Application n Cityof Atlantic Beach BuildingDepartment '- r 800 Seminole Rd, Atlantic Beach, FL 32233y , Phone: (904) 247-5826 Email: Building-Dept @coab.us **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. CRG'Sl ` _ 3(0 PERMIT#: JOB ADDRESS: 3-21 d q4 7k2e_f PROJECT VALUE$ $ ?O/X.O ©C) JEA INFORMATION REQUIRED ON ALL PERMITS:020 AMPS lab VOLTS I PHASE XNEW SERVICE: D Overhead Underground ❑Underground up Pole ❑Residential(Main)Service: ❑0-100 amps o101-150amps 151-200amps ❑ amps #of Meters I ❑Commercial(Main)Service: ❑0-100 amps o101-150amps n1.51-200amps ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main)Service: ❑0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters GP TEMPORARY POLE: 1041. - amps ❑ SERVICE UPGRADE: ❑ amps nCT Service amps ❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.): ❑100 amps ❑150amps ❑200amps n 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: ❑ OTHER ELECTRICAL PROJECTS: ❑Swimming Pool uSign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP n FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps n REPAIRS/MISCELLANEOUS: ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection uPanel Change [DOH to UG ❑Other: 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. Q -as 3—Coq d Owner Name: 5+4 p( t(\ �oOS t (( Phone Number: Electrical Company: /Pk c, �: One. Cke_ckcic., (l \ ped- C Office Phone: 1'a3a-'7d 63 Fax: Co.Address: 02 6 7( Cor O Ark C.f City: 'SA). State: R., Zip: 32-17.4 License Holder: 01 ICINGA 1.:,I\ .0,‘,” State Certification!'•gistration#: E41300S3 $R" Notarized Signature of License Holder o / / The foregoing instrument was acknowledged before me this 3(--)ay • '' in in th State of Florida,County of ......,„ Signature of Notary Public • L— / �'ei''-- TONI GINDLESPERGER ,, . .= MYCOMIIISSION#FF 924951 1 ] Personally Known OR( I Produced Identification . �,��p EXPIRES:October 6,2019 Type of Identification: a"h°.•' Bonded Thru Notary Public Undewnters