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603 Main St ERES19-0264 Safety ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES19-0264 ~" 800 SEMINOLE ROAD ISSUED: 9/19/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 3/17/2020 MUST CALL INSPECTION PHONE LINE (904) 247-S814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF i ' 1 BUILDING CODE, OF • OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, 40TICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property hat may be found in the public records of this county,and there may be additional permits required from other ;overnmental entities such as water management districts, state agencies, or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 603 MAIN ST ELECTRICAL RESIDENTIAL SAFETY INSPECTION $240.00 TYPE OF • :D • • iGROUP: 170915 0410 ATLANTIC BEACH SEC H COMPANY: ADDRESS: KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250 BEACH • ADDRESS: WADMAN JOHN P ET AL P O BOX 51241 JACKSONVILLE FL 32240 YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF :OMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST NSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Zoll off container company must be on City approved list . Container cannot be placed on City right-of-way. .. a e DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 SAFETY INSPECTION 4S5-0000-322-1000 0 $50.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $109.00 Issued Date:9/19/2019 1 of 2 y CICI.LI ILdi rut IIIIL 1APPIILdLIVfI HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 ❑ (SCS ( 9o;—; Phone: -1oZPhone: (904) 247-5826 Email: C@ Building-Deptcoah.LIS PERMIT#: JOB ADDRESS: 603 PROJECT VALUE$ a�J. b� rn u 0,k' L JEA INFORMATION REQUIRED ON ALL PERMITS: K6 AMPS R4) VOLTS PHASE ❑ NEW SERVICE: ©Overhead ❑Underground []Underground up Pole ©Residential (Main)Service: ❑0-100 amps 0101-150amps [1151-200amps []_amps #of Meters ❑Commercial (Main)Service: [30-100amps [3101-150amps 0151-200amps ❑ amps QCT Service amps Conductor Type_ Size OMulti-Family(Main)Service: ❑0-100 amps E1101-150amps C]151-200amps ❑ amps #of Unit Meters ❑TEMPORARY POLE: amps ❑ SERVICE UPGRADE:❑ amps ❑CT Service amps ❑ NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.): ❑100 amps ❑150amps ❑200amps ❑ amps aT Service amps ❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: C-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: L—� 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 Burnt/Damaged Meter Can 1E75afety Inspection ❑Panel Change ❑OH to UG [3)t her: undored 10/17118 Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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.(_ qGr/ 9 Owner Name: C• l'L rt,G�1�Q� .Phone Number.` 7 _7 -I T _ Electrical Company: 1�N 1t LZ kGTiQ <- 1. L.(' Office Phone: a�r r `a"�f Lf Fax: V Y 1' I �✓ _ Co.Address:, 101- 11" L « City: A L 19CState: ft zip: License Holder: Vic, r i. State Certification/Registration#: 1:4., 1'ol 2 S"23 Notarized Signature of License Holder _ The foregoing instrument was acknowledged before me this -day of int a lorida Count of f Sign ure of Notary Publi<-- Tracey Paulsen I Personally Known OR [ Produced Identification NOTARY PUBLIC Type of Identification. 1*- 9 STATE OF FLORIDA Comm#GG212743 Expires 4/30/2022