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1654 Atlantic Beach Dr ERES19-0299 Generator - r ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES19-0299800 SEMINOLE ROAD ISSUED: 10/10/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 4/7/2020 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: I VALUE OF WORK: 1654 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL 22 KW GENERATOR w/ 200A $2400.00 ATS TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169505 2050 ATLANTIC BEACH COUNTRY CLUB UNIT 02 COMPANY: ADDRESS: CITY: STATE: ZIP: AMERICAN ELECTRICAL 5065 ST AUGUSTINE RD #13 JACKSONVILLE FL 32207 CONTRACTING, INC. OWNER: ADDRESS: CITY: STATE: ZIP: PARKER WARREN ROSS 1654 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233 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 A. Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. F DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00 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: 10/10/2019 1 of 2 Electrical Permit Application **ALL INFORMATION (,:' y HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. % 800 Seminole Rd, Atlantic Beach, FL 32233 c usir C [� i — bz� J Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT U: JOB ADDRESS:i I(05LI PIA-3/4aMIC SelaCn -t- (Z PROJECT VALUE S; 2-IO0- CO JEA INFORMATION REQUIRED ON ALL PERMITS:;2.00 AMPS'a1{C) VOLTS 1 PHASE ElNEW SERVICE: 0Overhead OUnderground ❑Underground up Pole [Vtesidential(Main)Service: 00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters OCommercial(Main)Service: 00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service: Do-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters n TEMPORARY POLE: amps SERVICE UPGRADE:0 amps OCT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 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: tt circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS: °Swimming Pool❑Sign DSmoke Detectors (Qty) ❑transformers KVA OMotors HP FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps 0 REPAIRS/MISCELLANEOUS: ['Replace Burnt/Damaged Meter Can ['Safety Inspection :Panel Change pOH to UG Other: ,Q..,-..1Lv•I X-(a,-p R_ vs)I oZQ)tz TS Updated 10/17/18 1 , 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:„LI SA /441-41/ ,,� Phone Number:i Electrical Company:lpimp oqi IQL4tr^C )tom OfficePhone:I9.:I-1:: --i-Tr-)?0 Fax: Co. Address:;6 7"3s W City:f C &c vsUU.t State: Zip:(� 'Q' License Holder: G' ._, . \.JJ �� State Certification/Registration#:16-C,/30O724 Notarized Signature of License Holder l - The foregoing instrument was ack wledged before me this q day if Dore . ;20JI, iinn /it State of Florida, County of`( 1QiiL "14Notary Public State 01 Florida Signature of Notary Public t p g�` r N Angel N Brooks MyCommi�eon 00 2att!)14 rsonally Known OR i ) Produced Identification Hxares 10/17/2022