2233 Seminole Rd #9 ERES19-0283 Elec Reno r,i,mf, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER i-1 ,
. s� CITY OF ATLANTIC BEACH ERES19-0283
� ��� � ISSUED: 10/1/2019
�.
-tint»" 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 3/29/2020
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:
2233 SEMINOLE RD UNIT 9 ELECTRICAL RESIDENTIAL ELECTRIC RENOVATION $3500.00
TYPE OF ' REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169519 0118 OCEAN VILLAGE ONE
CONDO
COMPANY: ADDRESS: CITY: STATE: ZIP:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
PETWAY BRETTE 1535 UPLAND AVE BOULDER CO 80304
ELIZABETH 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.
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 18 $10.80
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: 10/1/2019 1 of 2
- 0'`''`'r�' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0283
,� V� 800 SEMINOLE ROAD ISSUED: 10/1/2019
". __, ATLANTIC BEACH. FL 32233 EXPIRES: 3/29/2020
[ TOTAL: $69.80
Issued Date: 10/1/2019 2 of 2
ION
Electrical Permit Application •-HII H DI
pp HIGHLIGHTED IN
City of Atlantic Beach Building Department*4
GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 6 R E5i9 - 0 Z 8 3
Phone:~� (904) 247-5826 Email: 3uil:.lin.;-Dept@coab.us PERMIT If:
rr
JOB ADDRESS: s� -. S of"-%.1,--, ra I F' cl PROJECT VALUE S 2'F)0 D
JEA INFORMATION REQUIRED ON ALL PERMITS: (-_() AMPS >-10VOLTS I PHASE
❑ NEW SERVICE: 0 Overhead ❑Underground ❑Underground up Pole
D Residential (Main)Service:
00-100 amps 0101-150amps 0151-200amps ❑ amps #1 of Meters
❑Commercial(Main) Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service--amps
Conductor Type Size
OMulti-Family(Main)Service:
00 100 amps 0101-150amps 0151-200amps ❑ amps it of Unit Meters
Li TEMPORARY POLE:_ __amps
❑SERVICE UPGRADE: [1 _amps OCT Service amps
1__] NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 01SOamps 0200amps 0 _ amps co-Service amps
II `-
ADDITIONS, REMODELS REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: '
Cutlets/Switches: / (J 0-30amps 31-100amps 101-200amps J
Appliances: 0.30amps 31-100amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: _# circuits @ _kw
Number of Lighting Outlets, Including Fixtures: j .?
OTHER ELECTRICAL PROJECTS:
❑Swimming Pool❑Sign ❑Smoke Detectors (Qty) ['Transformers KVA [Motors HP
i J FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
I _1 REPAIRS/MISCELLANEOUS:
['Replace Burnt/Damaged Meter Can ❑Safety Inspection [Panel Change DOH to UG
Other: Updated 10/17/15
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; citsC: 1" Phone Number:
Electrical Company: 11 evil i F- 'Llt.c t r k. -_ --_ _. Office Phone: , `',r? - 619,F'-r - Fax:
Co.Address:_gas I I -.P_(,e. ) - City: _,...lay I (-tr-t _-_State:-(-t . Zip:3 Su) _
License Holder: _ ‘ "")-}(42 tie_.}/t 4--f ilVt - State Certification/Registration ft: ER IJJ
rzr
Notarized Signature of License Holder N_
The foregoing instrument was acknowledged bei re me this q da • I _,_._,I.._ .20r, , in the State of Floe• , -.unty of
Tracey Paulsen Sigr lure of Notary Pu. is
• a
r'37A1EOFFLIORI� Personally Known OR( 1 Produc '' . n
• 6NOTARY PUBLIC
-Cctm*0Gat2T43 Type of Identification:,
Yr�
• • Expires 4/3012022
S ,ifi
a! Cash Register Receipt Receipt Number
City of Atlantic Beach R10616
':--JR U.
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $69.80
i
ERES19-0283 Address: 2233 SEMINOLE RD UNIT 9 APN: 169519 0118 $69.80
ELECTRICAL $65.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING
455-0000-322-1000 18 $10.80
FIXTURES
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: R10616 $69.80
Date Paid: Tuesday, October 01, 2019
Paid By: KNIGHT ELECTRIC LLC
Cashier: CB
Pay Method: CREDIT CARD 13
Printed:Tuesday,October 01,2019 3:56 PM 1 of 1