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1 OCEAN BLVD ELEC PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES19-0030 �~ 800 SEMINOLE ROAD ISSUED: 1/28/2019 19 ATLANTIC BEACH. FL 32233 EXPIRES: 7/27/2019 MUST CALL INSPECTION PHONE • 1 . 247-5814 BY . PM FORDAY • ALL WORK MUST CONFORMTO THE CURRENT ISTH EDITION1 OF • ' ! 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: 1 OCEAN BLVD ELECTRICAL RESIDENTIAL ELECTRIC - 3 OUTLETS, 1 $9896.00 APPLIANCE TYPE OF • • GROUP: 170229 0000 ATLANTIC BEACH COMPANY: ADDRESS: TITAN ELECTRIC GROUP, 2730-7 CL CLYDO RD JACKSONVILLE FL 32207 INC. • ADDRESS: ASHFORD ATLANTIC C/O EASLEY MCCALEB & ASSOCIATES MAITLAND FL 32751 BEACH LLP 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 . ! • 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 $1.80 ELECTRICAL BASE FEE 455-0000-322-1000 $SS.00 STATE DBPR SURCHARGE 4SS-0000-208-0700 $2.00 STATE DCA SURCHARGE 4SS-0000-208-0600 $2.00 Issued Date: 1/28/2019 1 of 2 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES19-0030 800 SEMINOLE ROAD ISSUED: 1/28/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 7/27/2019 TOTAL: $60.80; Issued Date: 1/28/2019 2 of 2 Electrical Permit Application **ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 'J 800 Seminole Rd, Atlantic Beach, FL 32233 E Rest 9_pp 3o "—" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:COMM18-0037 JOB ADDRESS: One Ocean Blvd., Atlantic Beach, FL 32233 PROJECT VALUE $S 9896.00 JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS S PHASE ❑ NEW SERVICE: ❑Overhead ❑Underground ®Underground up Pole oResidential (Main) Service: ❑0-100 amps E3101-150amps 0151-200amps ❑ amps #of Meters ❑Commercial (Main) Service: E10-100amps E1101-150amps 13151-200amps ❑ amps OCT Service amps Conductor Type Size ©Multi-Family(Main) Service: ❑0-100 amps 0101-150amps [1151-200amps ❑ amps #of Unit Meters ❑TEMPORARY POLE: amps SERVICE UPGRADE: ❑ amps ❑CT Service amps ❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): ❑100 amps 0150amps ❑200amps ❑ amps ❑CTService amps ❑✓ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: 3 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: 0 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 they: 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: Phone Number: Electrical Company: Titan Electric Southeast Office Phone: (407)677-4080 Fax:(407)677-9919 Co.Address: 6855 Hanging Moss Rd. City: Orlando State: FL Zip: 32807 License Holder: Jerry Vroombout State Certification/Registration#: EC13004431 Notarized Signature of License Holder The foregoing instrument was acknowled before I( day of, 20f int of Signatu o otaryPublic JJ ;''"�'�" i;: ASHLEY JONES 033908 Personally Known OR[ ] Produced Identification !, EXPIRES August 18,2019 Type of Identification: