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1600 Selva Marina Dr ERES19-0245 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES19-0245 �r ISSUED: 8/21/2019 800 SEMINOLE ROAD »` ATLANTIC BEACH. FL 32233 EXPIRES: 2/17/2020 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 • ' 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: 1600 SELVA MARINA DR ELECTRICAL RESIDENTIAL PETES TURN BLDG. 41 TEE - 8FIXTURES $2000.00 TYPE OF ZONING: :D • • • GROUP: 172000 0010 SELVA MARINA UNIT 05 COMPANY: ADDRESS: • ADDRESS: ATLANTIC BEACH 1600 SELVA MARINA DR ATLANTIC BEACH FL 32233 COUNTRY CLUB INC 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. (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: 8/21/2019 1 of 1 Electrical Permit Application "ALL INFORMATION HIGHLIGHTED IN r 1 City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 RCS ( C�_(OZctts Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 1600 Selva'Marina'Drive PROJECT VALUE $$2,000.00 JEA INFORMATION REQUIRED ON ALL PERMITS:_AMPS f,0'0 VOLTS '�;_PHASE ❑ NEW SERVICE: ❑Overhead [3Underground []Underground up Pole [311esidential (Main)Service: ❑0-100 amps [3101-150amps ©151-200amps ❑ amps #of Meters L7Commercial (Main)Service: ❑0-100 amps [3101-150amps 13151-200amps ❑ amps []CT Service amps Conductor Type Size pMulti-Family(Main)Service: 00-100 amps 173101-150amps E1151-200amps []_amps #of Unit Meters ❑TEMPORARY POLE: amps ❑SERVICE UPGRADE: ❑ amps ❑CT Service amps ❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.): E3100amps ❑150amps ❑200amps ❑ 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: PL-0-60arrips 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: ❑ OTHER ELECTRICAL PROJECTS: []Swimming Pool ❑Sign []Smoke Detectors (Qty) ❑Transformers KVA []Motors HP ❑ FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps ❑ REPAIRS/MISCELLANEOUS: ❑Replace Bu Damaged ter Cag QSafety Inspection ❑Panel Change ❑OH to UG ❑other. 65 DpAtedio/v/is 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: && 4" M ��d�t` lU ''" P�ho�ne Number: Electrical Compaan�}y: f l e 16yr)l'2dY�/' ffice Phone: Wel � �� Fax: Co.Address: Y' 'L City: State::-R—Zip: License Holder: A&A'% ! L/ State Certification/Registration# / GLZ "rQ Notarized Signature of License Holder The foregoing instrument was acknowledged before me t i� ay 20 n ther.e of rida,County ofBARBARA K.KENNELLY Si rature of Notary Public MY COMMISSION#GG 078254 EXPIRES:March 17,2021 [ nally Known OR [ ] Produced Identification BondedThruNotaryPublicunderwriterTdentification: