1026 BIG PINE KEY - ERES18-0124 ,%'i" "f"� 4., ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACH ERES18-0124
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800 SEMINOLE ROAD ISSUED: 3/29/2019
\l., .,'< EXPIRES: 9/25/2019
'`� 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.
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JOB ADDRESS: PERMIT TYPE: I ,, DESCRIPTION: VALUE OF WORK:
1026 BIG PINE KEY ELECTRICAL RESIDENTIAL PANEL CHANGE $900.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172027 5060 SELVA LAKES
COMPANY: ADDRESS: CITY: STATE: ZIP:
MICHAEL K LEGGETT INC 11624 FT CAROLINE LAKES DR JACKSONVILLE FL 32225
OWNER: ADDRESS: , ',...` , CITY STATE: i ZIP:
STEGALL KATHRYN STEECE 1026 BIG PINE KY ATLANTIC BEACH FL 32233
GINN
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 , .4! 90.14,41
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 SERVICE CHANGE 455-0000-322-1000 1 $30.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
4 TOTAL:$89.00
Issued Date:3/29/2019 1 of 2
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t_____, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC B EACH
(:
ERES18-0124
800 SEMINOLE ROAD
-f: ISSUED: 3/29/2019
\ /
ATLANTIC BEACH. FL 32233 EXPIRES: 9/25/2019
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Issued Date:3/29/2019 2 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 /�
Ph(904)247-5826 Fax(904) 247-5845 I`ES( 8--D � a q
JOB ADDRESS: 1 bulb Big Pini le-2.y i }thin-F;c 9,2elcin t R.,3aa33 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 150 AMPS 2`1v VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
DResidential(Main)Service
[10-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
0 0-1 00 amps ;7101-150amps 0151-200amps 11 amps OCT Service amps
Conductor Type Size
[Multi-Family(Main)Service
Cao-100 amps 0 101-150amps 0 151-200amps ❑ amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 9 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps 0 amps OCT 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
0 Swimming Pool Il Sign O Smoke Detectors_Qty JTransformers KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ 4900
REPAIRS/NIISCELLANEOUS
LI Replace Burnt/Damaged Meter Can 0 Safety Inspectionanel Change ❑OH to UG
0 Other: ("u:,ilk'lt.Qch()1Q,-*f 0.c,0,g&�' »'
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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 -T•Cr) 111411rvi«-C Y K0.`hl n Ste ons Number (D)S- guy-64 11
Electrical Company Mk d l RP, t e3 y t'+f Office Phone 342-$loO Fax WA
Co.Address: i 11,o)4 F4- (Q rp i,1'e ( a KPS tv! City JSk State (- Zip � ?.5
License Holder(Print): N.:1(.4 k K{-e q('c State Certification/Registration# E C (300-7 IN
N • • _ er "'rel/ cam'—
,,,,1:„,• MICHELLE KUPI TEIN
,1 NOM Putsia.ile-#ss= a AVM nom and subscribed before me this 13 day of April 20 lg
Col..i stett►oo3OO5
kly Cosmo.Expires Jun 27,202 gnature of Notary Public �hL � Uro+e;n„ ' Bonded ttvough Nation 11 Nml t.-•-
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' � Cash Register Receipt Receipt Number
City of Atlantic Beach R8598
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $89.00
ERES18-0124 Address: 1026 BIG PINE KEY APN: 172027 5060 $89.00
ELECTRICAL $85.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SERVICE CHANGE I 455-0000-322-1000 1 $30.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8598 $89.00
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Date Paid: Thursday, March 28, 2019
Paid By: MICHAEL K LEGGETT INC
Cashier: CB
Pay Method: CREDIT CARD 10
Printed:Thursday, March 28,2019 2:50 PM 1 of 1 j
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