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444 Osprey Key ERES19-0075 panel change permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES19-0075 800 SEMINOLE ROAD ISSUED: 3/4/2019 ATLANTIC BEACH, FL 32233 EXPIRES: 8/31/2019 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: 444 OSPREY KEY ELECTRICAL RESIDENTIAL 150 amps/240 volts/single- $600.00 phase - panel change TYPE OF REALESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1720275098 SELVA LAKES COMPANY: ADDRESS: CITY: STATE: ZIP: KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250 BEACH OWNER: ADDRESS: CITY: STATE: ZIP: WHEELER JACK D LIVING 444 OSPREY KY ATLANTIC BEACH FL 32233-4367 TRUST 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. 0 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00 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 $2-00j Issued Date:3/4/2019 1 of 2 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER ERES19-0075 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 3/4/2019 EXPIRES: 8/31/2019 ATLANTIC BEACH. Fl.32233 TOTAL:$94.00 Issued Date:3/4/2019 2 of 2 "ALL INFORMATION Electrical Permit Application HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. N 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: q —PROJECT VALUE$ JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS_2�L VOLTS_�_PHASE [71 NEW SERVICE: -1 Overhead oUnderground 016nderground up Pole -�Residential(Main)Service: LjO-100 amps i-:101-150amps o151-200amps (.i_amps #of Meters lCommercial(Main)Service: �..iO-100 amps ,.-:101-150amps i-J51-200amps o_amps ,jCT Service amps Conductor Type Size :,Multi-Family(Main)Service: oO-100 amps F-101-150amps F.151-200amps fj_amps #of Unit Meters -1 F TEMPORARY POLE: amps El SERVICE UPGRADE: f,i_amps i 1CT Service amps El NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.): ij100amps �150amps : :200amps i! amps ,,j 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: ilSwimmingPool -Sign --.Smoke Detectors__(Qty) r.Jransformers KVA nMotors HP F-] FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty —volts/amps REPAIRS/MISCELLANEOUS: i Aeplace Burnt/Damaged Meter Can c--.,Safety Inspection vfranelChange c-.OH to UG Updated 10/17118 cOther: 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: t4ee(C.'_ Phone Number: 23 Af b 78 Electrical Company:. Y', r Office Phone: Fax:— qc<- Co.Address: City: Zip: tj pyl, 5, 41�4L k State ft License Holder: :jLe v-- __�.Ute Certification/Registration#: jW1 309.5;0 Notarized Signature of License Holder �Z. day of 2016f in the State of Florida,County of.'j2Lj'jjL The foregoing instrument was acknowledged before mie this Signature of Notary Publi I KKI L EMAHISER V Notary Pubitc�State of Florida o uce0entific i' �kersonally Known OR Pr du e Commission#GG 2725746] Type of Identification: My Comm.ExPires Mav 21 2o�n y 2d through National Notary Assn� Cash Register Receipt Receipt Number City of Atlantic Beach R8320 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $94.00 ERES19-0075 Address: 444 OSPREY KEY APN: 172027 5098 $94.00 ELECTRICAL $90.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R8320 $94.00 Date Paid: Monday, March 04, 2019 Paid By: KNIGHT ELECTRIC LLC Cashier: CB Pay Method: CREDIT CARD 41201 Printed: Monday, March 04, 2019 3:12 PM 1 of 1