435 Osprey Key ERES19-0340 sunroom elec permit RE__\rl L (1_ ) tZ/ tz
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i"`'�^6J'iclELECTRICAL RESIDENTIAL PERMITr
PERMIT NUMBER
1 \
` CITY OF ATLANTIC BEACH ERES19-0340
ISSUED: 1252019r
800 SEMINOLE ROAD / /
`�rll,)' ATLANTIC BEACH. FL 32233 EXPIRES: 6/2/2020
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:
435 OSPREY KEY ELECTRICAL RESIDENTIAL SUNROOM - 6 OUTLETS $1450.00
TYPE OF REAL ESTATE ZONING: 1 BUILDING USE
CONSTRUCTION: NUMBER: GROUP: SUBDIVISION:
172027 5082 SELVA LAKES
COMPANY: ADDRESS: CITY: STATE: ZIP:
EMPIRE ELECTRIC INC 5810 Macy Avenue JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: i ZIP:
HICKEY MICHAEL J ET AL 435 OSPREY KEY ATLANTIC BEACH FL 32233-4367
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
ter.,
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 0 $0.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 7 $4.20
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: $63.20
Issued Date: 12/5/2019 1 of 2
ALL
Revision Request/Correction to Comments **HIGHLIORMATION
•r�= �r�;, HIGHLIGHTED IN
I City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
R S
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: i9.. )3L��.
Pi Revision to Issued Permit OR [1 Corrections to Comments Date: )2- I I I ! )9
Project Address: Lk 3 Kef
Contractor/Contact Name: pi e c,.W% C,, `c\C.•
Contact Phone: CIO4 ' Pr5 7T77 Email: Ki+k-1- p c c 1 C -co ' .
Description of Proposed Revision/Corrections:
' ii I AIli I �v�
affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will proposed revision/corrections add additional square footage to original submittal?
DT1No I ° 1 Yes (additional s.f. to be added:
• 'ill proposed revision/corrections add additional increase in b •inge)ialue to original submittal?
I No ❑' *Yes (additional increase in building valu / O. ) (contractor must sign If increase in valuation)
*Signature of Contractor/Age.•. ✓
(Office Use Only)
EJ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning &Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18