654 Ocean Blvd. ERES19-0065 Elec. Outlets rs�''r'% ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
►` -it�'i CITY OF ATLANTIC BEACH
ERES19-0065
800 SEMINOLE ROAD ISSUED: 2/21/2019
EXPIRES: 8/20/2019
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:
654 OCEAN BLVD ELECTRICAL RESIDENTIAL ELECTRICIAN 10 OUTLETS $1200.00
AND 3 APPLIANCES
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170135 0010 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
PHASE ONE ELECTRIC LLC 2076 CORONA CT JACKSONVILLE FL 32224
OWNER: ADDRESS: CITY: STATE: ZIP:
SAUNDERS ROBERT L III 654 OCEAN BLVD 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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 13 $7.80
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: $66.80
Issued Date: 2/21/2019 1 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 £ (-\ bc&S
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 65 Li Vc.Ca(1 BLVO PROJECT VALUE $ �a1�4G
JEA INFORMATION REQUIRED ON ALL PERMITS:0160 AMPS I.O VOLTS I PHASE
NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
uResidential (Main)Service:
70-100 amps 7101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main) Service:
❑O-100 amps 101-150amps o151-200amps ❑ amps ECT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
n0-100 amps 7101-150amps o151-200amps n amps #of Unit Meters
n TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps ❑CT Service amps
I I NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps 7150amps ❑200amps r, amps nCT Service amps
i/ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: /0 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:
nSwimming Pool nSign ISmoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel 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. /�
Owner Name: RO�i/+M AMy Saun c.cs Phone Number: 'iaLi 7/ 3448
Electrical Company: ? o.St. QAlt— /L. C Office Phone: go 7'0):3•1 3 Fax:
Co.Address: .iG7 6 a con cd . G+ City: State: FL Zip:32-ka,4
License Holder: M)G INALi Li IN LO 6\ State Certification/Registration#: C 1300 r3$i
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this ' ( day .f 1) • ', in the 'ta : of Florida,County of _
Signature of Notary Public 2 C
-
Y.^ig TONIGISSION#ERGER [ ] Personally Known OR[ ] Produced Identification
�: MY COMMISSION#FF 924951 ,
•rbag EXPIRES:October 6,2019 Type of Identification:
pf''°.•' Bonded Thru Notary Public Underwnters
NOTICE OF COMMENCEMENT
State of F Lfl -C D Tax Folio No.
County of i' L{ U A L
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: S - t„Cj ( (, Z.S - , 1 32...
ATt f &.vri L ' - 4 (3LIQ 1 -7
Address of property being improved: (0 5 4 C L- A-)\-) LAD E ')J iMAJ7—lC_ b E'40+i FL 32_233
General description of improvements: R•Cvii(,O U,' pa h.4-^y �, ,�(' etydetc(9J-- e' i p(Iu ,&glee
cel lit „ it44-4,1( Imo c diii fkaytata,ppltc,. e5
Owner: tROBi='R% L Shu JD (LS Address: 6 54 C3cri,A, �1- D rn1�}/JT1c i3AA6H ' g2z33
Owner's interest in site of the improvement: OW(J [&
Fee Simple Titleholder(if other than owner):
Name:pie/ ��q
Contractor: `, C�.1^'N,P J iii i laAj Q45�0� Jr-
Address: 1)0 13 A-v �_ Cc( alt y l P_. Edit 250
Telephone No.: 4)(54- 41 30 5 Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b), Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER der44....
Doc#2019027507,OR BK 18679 Page 2480, Signed: ?��- � Date: 2 " Z t
Before me this off- day of FE.13,-c44 0 vI1 in the County of Duval,State
Number Pages:1
Recorded 02/04/2019 02:07 PM, Of Florida,has personally appeared - w^'ar�s f�
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public at Large,State f FI rida,Coun�`of u
=1 4
COUNTY
My commission expires: d 6 G :� i°I t
RECORDING $10.00 Personally Known: =y 'Y•,•��}RYP-e-'' ^0U TP. �R Florida��, 0�+ )- of rid
Produced Iden++.'kation: F t •.¢;7� _ * �*
.;:. ` Corpicginn FF 239295
4 My Comm.Expires Jun 9,2019
''%,,&O's Bonded through National Notary Assn.