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1877 BEACH AVE ERES18-0281 ELECT PERM TESLA OUTLET a'fJJ ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER ERES18-0281 CITY OF ATLANTIC BEACH Vr 800 SEMINOLE ROAD ISSUED: ATLANTIC BEACH. FL 32233 EXPIRES: MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' + BUILDING CODEJ. NEC, IPMC, AND OF ATLANTIC BEACH • 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: 1877 BEACH AVE ELECTRICAL RESIDENTIAL INSTALL OUTLET FOR TESLA $500.00 TYPE OF ZONING: : . • CONSTRUCTION: GROUP: 169682 0000 NORTH ATLANTIC BCH UNIT 2 COMPANY: ADDRESS: AMERICAN ELECTRICAL 5065 ST AUGUSTINE RD APT 13 JACKSONVILLE FL 32207 CONTRACTOR • --ADDRESS. CITY: STATE: zip: HARPER JOHN F 24448 MOSS CREEK LN PONTE VEDRA FL 32082 BEACH 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 ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $4.00 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 $2.00 Issued Date: 1 of 2 r ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES18-0281 800 SEMINOLE ROAD ISSUED: ATLANTIC BEACH. FL 32233 EXPIRES: TOTAL:$63.00 Issued Date: 2 of 2 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 nPh(904)247-582,61 Fax(904)247-5845 JOB ADDRESS: `� � �� + PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS c ,)r, PS 1C) VOLTS �_PHASE VALUE OF WORK$ C> NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole JResidential(Main)Service ❑0-100 amps 0101-150amps X151-200amps F amps #of Meters ❑Commercial(Main)Service 00-100 amps J101-150amps 1151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service n0-100 amps ❑101-150amps 1 151-200amps n amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service�i amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ❑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 [-Swimming Pool ❑ Sign ❑Smoke Detectors_Qty [-,Transformers KVA nMotors__hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Rep ace Burnt/Damaged Me��te}}r(Clan ��{�❑Safety I{n�spection ❑ParneI Change ❑OH to UG 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. Property Owners Name � Q` `t� Phone Number �-�� f Electrical Company [- 1 �< `�C`Y Office Phone�3fl"��0 Fax 'Vv 9 Co.Address: ��• City -�IUO( StateQ_Zip License holder(Print): c --`- State Certifjeatiqegi ation# 1 -� Notarized Signature of License Holder Anna M.Daly Sworn and subscribed before e is da of ,' �' 67 20 NOTARY PUBLIC y r _STATE OF FLORIDA Signature of NotaryPub11 y Comm#GG068924 Expires 2/2/2021 , • Register • Receipt • City of Atlantic Beach R8374 l DESCRIPTION ACCOUNTQTY PAID PermitTRAK $63.00 ERES18-0281 Address: 1877 BEACH AVE APN: 169682 0000 $63.00 ELECTRICAL $59.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $4.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ITOTAL FEES PAID BY RECEIPT: R8374 11 Date Paid: Friday, March 08, 2019 Paid By: AMERICAN ELECTRICAL CONTRACTOR Cashier: CT Pay Method: CREDIT CARD 965033 Printed: Friday, March 08,2019 12:07 PM 1 of 1 ixwrr 'rS}.sly 1Yjn J Cash s� City ofAtlanticBeach R8374 DESCRIPTION • QTY PAID PermitTRAK $63.00 ERES18-0281 Address: 1877 BEACH AVE APN: 169682 0000 $63.00 !, ELECTRICAL $59.00 ELECTRICAL BASE FEE 455-0000-322-10000 $55.00 ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $4.00 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 • , , $63.00 Date Paid: Friday, March 08, 2019 Paid By: AMERICAN ELECTRICAL CONTRACTOR Cashier: CT Pay Method: CREDIT CARD 965033 Printed: Friday,March 15,2019 11:21 AM 1 of 1 �P TN'K T Johnston, Jennifer From: Giles, Christian on behalf of Building, Dept Sent: Friday, September 6, 2019 4:21 PM To: Johnston, Jennifer Subject: FW: PERMIT ERES18-0281 Thank You, C�W(,SVb WIi(�&Ie�k Receptionist—Building Dept. City of Atlantic Beach 904-247-5800 CGILES@COAB.US From:John F Harper [mailto:jfharper@comcast.net] Sent: Friday, September 06, 2019 3:49 PM To: Building, Dept<Building-Dept@coab.us> Subject: REF: PERMIT ERES18-0281 I am selling my house at 1877 Beach Ave in Atlantic Beach. They claim there is a permit still open on a charger that was installed into my home when I bought my Tesla car in August of 2018. 1 don't know why it was not closed (frankly I did not know that American Electric who installed it had to get a permit). That charger has been removed to my new home (Ponte Vedra) some 6 months ago. John Harper 904 318-8113 i