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2434 Seminole Rd ERES19-0337 Elec for Pool %'Sv��`,s'' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER „.;,,,,r,, �� CITY OF ATLANTIC BEACH ERES19-0337 \ ~ 800 SEMINOLE ROAD ISSUED: 11/21/2019 ;ti>>� ATLANTIC BEACH. FL 32233 EXPIRES: 5/19/2020 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: 2434 SEMINOLE RD ELECTRICAL RESIDENTIAL ELECTRIC FOR POOL $100.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 168354 0150 SECTION LAND COMPANY: ADDRESS: CITY: STATE: ZIP: JAMES SANCHEZ ELECTRIC 1501 RUSSELL ROAD GREEN COVE FL 32043 SPRINGS OWNER: ADDRESS: CITY: STATE: ZIP: RICHARD BOEHME 2434 SEMINOLE RD ATLANTIC BEACH FL 32233-5928 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 Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00 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 TOTAL: $99.00 Issued Date: 11/21/2019 1 of 2 s rr --- - ,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER �1, CITY OF ATLANTIC BEACH ERES19-0337 \ ISSUED: 11/21/2019 ,. .,j)-5, 800 SEMINOLE ROAD `'' ATLANTIC BEACH. FL 32233 EXPIRES: 5/19/2020 Issued Date: 11/21/2019 2 of 2 _yp,, Electrical Permit Application "ALL INFORMATION Ap HIGHLIGHTED IN i City of Atlantic Beach Building Department GRAY IS REQUIRED. lc y 800 Seminole Rd, Atlantic Beach, FL 32233 E RE-S(.9 — 0337 ti Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 2434 Seminole Rd PROJECT VALUE$$100.00 JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE D NEW SERVICE: ❑Overhead ❑Underground DUnderground up Pole Dtesidential(Main)Service: 00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters ❑Commercial(Main)Service: 00-100 amps 0101-150amps 0151-200amps Damps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service: DD-100 amps 0101-150amps ❑151-200amps 0 amps #of Unit Meters 0 TEMPORARY POLE: amps El SERVICE UPGRADE: 0 amps OCT Service amps ❑ NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps 0150amps 0200amps 0 amps ❑CT Service amps ❑ ADDITIONS,REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30am ps 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: a OTHER ELECTRICAL PROJECTS: USwimming 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 OSafety Inspection panel Change DOH to UG :Other: Updated 10/17/18 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: James Sanchez Phone Number: (904)838-2183 Electrical Company: James Sanchez Electric,Inc Office Phone: (R04)838-2183 Fax:1900 391-5380 Co.Address: 1501 Russell Rd City: Green Cove Springs State: FI Zip: 32043 License Holder: James Sanchez State Certification/Registration#: EC13006875 Notarized Signature of License Holder (_____,2 �n1 TftelkrIggingi turrignkwAs�cf�i r led/before me this,do day of 0 ,20 q in the State of Florida,County of Cil Q,L/ r.'w<.: TERRI L.DALY 1 NotaryPublic-State of Flon i Signature of Notary Public1 '- -Commissions GG 345199 °fan My Comm.ExwesOct 11,2023 I [ Personally Known OR[ ] Produced Identification Bonded through Natrona!Notary Assn. I Type of Identification: , „..„1,.A.,N Cash Register Receipt Receipt Number City of Atlantic Beach R11121 �Jiil9� DESCRIPTION I ACCOUNT I QTY PAID PermitTRAK $99.00 ERES19-0337 Address: 2434 SEMINOLE RD APN: 168354 0150 $99.00 ELECTRICAL $95.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00 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: R11121 $99.00 Date Paid: Thursday, November 21, 2019 Paid By:JAMES SANCHEZ ELECTRIC Cashier: CT Pay Method: CREDIT CARD 093708 Printed:Thursday, November 21,2019 9:38 AM 1 of 1 F i'S fin ' Cash Register Receipt Receipt Number 15 .r City of Atlantic Beach R11553 DESCRIPTION I ACCOUNT I QTY PAID PermitTRAK $55.00 ERES19-0337 Address: 2434 SEMINOLE RD APN: 168354 0150 $55.00 POOL GROUNDING 01/22/2020 RBE $55.00 POOL GROUNDING 01/22/2020 RBE 455-0000-322-1002 0 $55.00 TOTAL FEES PAID BY RECEIPT: R11553 $55.00 Date Paid: Friday, January 24, 2020 Paid By: JAMES SANCHEZ ELECTRIC Cashier: CT Pay Method: CREDIT CARD 142840 Z Printed: Friday,January 24, 2020 2:35 PM 1 of 1 I