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230 10TH ST ELECTR PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES19-0070 ~" 800 SEMINOLE ROAD ISSUED: 3/1/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 8/28/2019 MUST CALL INSPECTION • • • 1 PM FOR + INSPECTION. ALL • ' K MUST CONFORM TO THE CURRENT 6TH 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. JOBADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 230 10TH ST ELECTRICAL RESIDENTIAL 200 amps/240 volts/single- $4500.00 phase - elec for new home TYPE OF ZONING: :D • • • GROUP: 170357 0000 ATLANTIC BEACH PARKWAY • ADDRESS: TRI COUNTY ELECTRICAL 11637 E COLUMBIA PRK DR JACKSONVILLE FL 32258 • ADDRESS: CITY: STATE: ZIP: FRANCIS JAMES D 230 10TH ST ATLANTIC BEACH FL 32233-5750 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 I 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 NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $129.00 Issued Date: 3/1/2019 1 of 2 Electrical Permit Application 'f,;,� **ALLINFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department ��'� GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 1g Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:. JOB ADDRESS: e r;? ) � �} - = PROJECT VALUE $ �D© 1EA INFORMATION REQUIRED ON ALL PERMITS: AMPS. 4LL VOLTS I PHASE NEW SERVICE: 0 Overhead Xuriderground E]UndergroundupPole sidential(Main)Service: p0-100 amps p101-150amps ,',,� 151-200amps ❑ amps #of Meters OCommercial(Main)Service: \\ [30-100 amps [3101-150amps 13151-200amps 13 amps []CT Service amps Conductor Type Size CMulti-Family(Main)Service: ❑0-100 amps 0101-150amps 0151-200amps amps #of Unit Meters ❑ TEMPORARY POLE:—amps ❑SERVICE UPGRADE: []_amps OCT Service amps �r, ❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.): M100 amps ❑150amps 0200amps ❑ amps OCTService 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 17715ign ❑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 tether: Updated 10/17/18 Permit becomes void if work does not commence within a six month period orwork 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: . S ' ' Phone Number: ✓4- Electrical Company: '\ �� e 'L�=te-c,` G,rt • Z�&=-Office Phone: D:,Ci,6 —96,ci Co.Address: C-)ly, i` Y- I City: ,, X- State: Zip: 3,2,it;Sr License Holder: V, n `•, W' it Stat C tification/Registration#: re I. QUs la I' Notarized Signature of License Holder u e_ as acknowledged before me this day of is 20(x, in the State of Florida,County of "°av P' TAMMY PALL Q •���` °°;'•• Signature of Notary Publics Notary Public.State of Florida ,� 49 :•� Commission#FF 995425 Personally Known OR[ I Produced Identification My Comm.Expires Jul 6.2020 Type of Identification: Bonded through National Notary Assn. Cash Register Receipt City of Atlantic Beach . . 301 DE� ' • • • ' • PermitTRAK $129.00 ERES19-0070 AC:-ress: 230 10TH ST APN: 170357 0000 $129.00 ELECTRICAL $125.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00 STATE SURCHARGES $4.00 STATE D3PR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTALPAID :Y RECEIPT: R8301 $129.00 Date Paid: Friday, March 01, 2019 Paid By: TRI COUNTY ELECTRICAL Cashier: CT Pay Method: CREDIT CARD 011052 Printed: Friday, March 01,2019 11:26 AM 1 of 1 Hoar