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265 3rd St ERES19-0336 Generator }V A T ' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER ERES19-0336 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 11/21/2019 EXPIRES: 5/19/2020 ATLANTIC BEACH. FL 32233 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: 265 3RD ST ELECTRICAL RESIDENTIAL ELECTRIC 200 a ATS FOR $2400.00 GENERATOR 22KW TYPE OF REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172550 0000 ATLANTIC BEACH TERRACE COMPANY: ADDRESS: CITY: STATE: ZIP: AMERICAN ELECTRICAL 5065 ST AUGUSTINE RD#13 JACKSONVILLE FL 32207 CONTRACTING, INC. OWNER: ADDRESS: CITY: STATE: ZIP: HOWE ANDREW M 265 3RD ST ATLANTIC BEACH FL 32233-5210 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 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: 11/21/2019 1 of 2 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES19-0336 15 Vr 800 SEMINOLE ROAD ISSUED: 11/21/2019 "En; v` ATLANTIC BEACH. FL 32233 EXPIRES: 5/19/2020 TOTAL: $94.00 Issued Date: 11/21/2019 2 of 2 Electrical Permit Application *'ALL INFORMATION J,'-� r, ~' City of Atlantic Beach Building Department GRAY IS REQUIRED. j . , 800 Seminole Rd, Atlantic Beach, FL 32233 HIGHLIGHTED IN �' E- (`0='i Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: a4'5 .3 E2' 5- PROJECT VALUE$' 0-4400 - Oa JEA INFORMATION REQUIRED ON ALL PERMITS:0.00 AMPS gq0 VOLTS, I PHASE ❑ NEW SERVICE: 0 Overhead DUnderground ©Underground up Pole CIResidential(Main)Service: 00-100 amps 1:1101-150amps 0151-200amps 0 amps #t of Meters OCommercial(Main)Service: ❑0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size OMuiti-Family(Main)Service: DJ-100 amps 0101-150amps 0151-200amps 0 amps tr of Unit Meters El TEMPORARY POLE: amps El SERVICE UPGRADE: ❑ amps OCT Service amps n NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.): 0100 amps 0150amps 0200amps 0 amps DT 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: # circuits @ kw Number of Lighting Outlets, Including Fixtures: El OTHER ELECTRICAL PROJECTS: ❑Swimming Pool[]Sign ❑Smoke Detectors (Qty) ❑Transformers KVA OMotors HP 0 FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps ti REPAIRS/MISCELLANEOUS: DReplace Burnt/Damaged Meter Can Chafe Inspe tion ❑Panel Change Q0H to UG ISOther: CEXl em)44-17 IL Cam v.v./ in 1 v.3/ ' ,a. A7'S Updoted10/17/18 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 �� t\,TThe�permit does not give O authority to violate the provisions of any other state or local law regulation construction or the performance of Owner Name: t�1r�C�rnn � ' Phone Number: qCI--1 -a)9-cloaa Electrical Company:j(YIJ, rs t`.(4Q A.c.PL_ Office Phone:!�1 �` � �" r QL-{.�3�---1��C7 Fax: Co.Address:i5N0c-.3, St- [-tCA9LAS-Iiru_ (2- City:P �YL«.Q State:Ft- Zip:I3 oQq)� License Holder: .K\Q-U .fQa CX . J/ State Certification/Registration#:;�C j 30073 II Notarized Signature of License Holder, �'P"'7 175 .__� . . . _ The foregoing instrument was ack wledged before me this 1oc is of L t♦f ,� 20 H�, ' the State of Florida,County of^L&a/c�1L. My4% Notary Public Slate of Pionda Signature of Notary Public V I t/ el N Brook• Cornrm�aon OG 70QEt� personally Known OR[ I Produced Identification ExDr„10/17/2022 r.. rt ri� "vi:o�, Cash Register Receipt Receipt Number 75M City of Atlantic Beach R11122 DESCRIPTION I ACCOUNT I QTY PAID PermitTRAK $94.00 ERES19-0336 Address: 265 3RD ST APN: 172550 0000 $94.00 ELECTRICAL $90.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00 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: R11122 $94.00 Date Paid: Thursday, November 21, 2019 Paid By: AMERICAN ELECTRICAL CONTRACTING, INC. Cashier: CT Pay Method: CREDIT CARD 324253 Printed:Thursday, November 21,2019 9:49 AM 1 of 1 ii