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461 Atlantic Blvd. ERES19-0053 Low Voltage ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER ;10- CITY OF ATLANTIC BEACH ERES19-0053 ISSUED: 2/14/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 8/13/2019 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: 461 ATLANTIC BLVD ELECTRICAL RESIDENTIAL LOW VOLTAGE $4000.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170691 0010 SALTAIR SEC 03 COMPANY: ADDRESS: CITY: STATE: ZIP: JACKSONVILLE AUDIO 4749 SAPPHO AVE JACKSONVILLE FL 32205 VIDEO AUTHORITY LLC OWNER: ADDRESS: CITY: STATE: ZIP: ATLANTIC BEACH YARD 1238 BEACH AVE ATLANTIC BEACH FL 32233 REAL ESTATE LLC 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 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: $59.00 Issued Date: 2/14/2019 1 of 2 :11''`1 r 1" Electrical Permit Application **ALL INFORMATION �, � HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 3' r 800 Seminole Rd, Atlantic Beach, FL 32233 `"" V Phone: (904) 247-5826 Email: Buildin -Det coab.us ); p @ PERMIT#: JOB ADDRESS: 461 Atlantic Blvd. Atlantic beach, FL PROJECT VALUE $$4,000.00 JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE ❑ NEW SERVICE: 0 Overhead DUnderground Underground up Pole EResidential (Main)Service: DO-100 amps D101-150amps []151-200amps ® amps It of Meters DCommercial (Main)Service: 00-100 amps 0101-150amps 0151-200amps ® amps OCT Service amps Conductor Type Size OMulti-Family(Main)Service: ❑0-100 amps 0101-150amps D151-200amps © amps #of Unit Meters ri TEMPORARY POLE: amps 0 SERVICE UPGRADE: ❑ amps OCT Service amps n NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps ❑150amps D200amps ❑ amps OCT Service amps ❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30a m ps 31-100amps 101-200a m ps 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❑Sign DSmoke Detectors (Qty) ['Transformers KVA ['Motors _ HP n FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps n REPAIRS/MISCELLANEOUS: ['Replace Byrnt/Damaged Meter Can ❑Safety Inspection DPanel Change DOH to UG [Other: (_C.c..v V 0 I-c• Ce_.., Updated l0/17/18 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: Scott Dennison Phone Number: (904)993-4742 Electrical Company: Jacksonville Audio Video Authority Office Phone: (904)993-4742 Fax: Co.Address: 4749 Sappho Ave. Jacksonville, FL 32205 City: Jacksonville State: FL Zip: 32205 License Holder: Scott Dennison , A State Certification/Registration#: ES12000806 Notarized Signature of License Holder !' %' ilk•? The foregoing instrument was acknowledged before me this I .$ay of La • 2► dill in he State of Florida, County of -----._—__--___t---------- Signature of Notary Public ----,--Q--I �� �' TONI GINDLESPERGER ;crhI it F924951 [ ] Personally Known OR [ ] Produced Identification *if, ncedTh o:Goober 3,20',9 �1 o'r °; BondedThrutvotaryPuohcUndenxriters Type of Identification: 1 --_-:ZS.----2 ( s— ) — LZ (c,— CD