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2279 Seminole Rd #10 ERES19-0358 repair permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER r � CITY OF ATLANTIC BEACH ERES19-0358 ISSUED: 12/20/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 6/17/2020 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL • 'K MUST CONFORM T• THE CURRENT 6TH EDITION1 OF • + BUILDING CODE, AND OF ATLANTIC + CH CODE OF ORDINANCES . ALL i i OF 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: 2279 SEMINOLE RD UNIT 10 ELECTRICAL RESIDENTIAL REPLACE DISCONNECT AND $0.00 GROUNDING RODS TYPE OF • ZONING: :D • • • GROUP: 168345 0175 SECTION LAND COMPANY: ADDRESS: MISTER SPARKY 11290 St Johns Industrial Parkway#7 JACKSONVILLE FL 32246 • STATE: HOFFMANN ERICA L 2279 SEMINOLE RD#10 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. 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 REPAIRS AND MISC 455-0000-322-1000 0 $35.00 ELECTRICAL BASE FEE 45S-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:$94.00 Issued Date: 12/20/2019 1 of 2 PERMIT NUMBER ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH ERES19-0358 800 SEMINOLE ROAD ISSUED: 12/20/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 6/17/2020 Issued Date: 12/20/2019 2 of 2 Electrical Permit An lication :`.AUINfon"'^TI°�° pp HIGHL,Gf 1E IN City of Atlantic Beach Building Department GPAY is REQUIREDJ 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS. '2279�CMIfOt,E F:4#1D _ ' li 'r i 'i PROJECT VALUE JEA INFORMATION REQUIRED ON ALL PERMITS AMPSi$,,X ,,,VOLTS,f` PHASE © NEW SERVICE: ©Overhead ClUnderground []Underground up Pole oResidential (Main) Service: 00-100 amps [3101-150amps 0151-200amps _amps #of Meters [Commercial (Main)Service: ©0-100 amps ©101-150amps 13151-200amps © -amps ©CT Service amps Conductor Type Size CMulti-Family(Main)Service: Do-100 amps ©101-150amps [3151-200amps © amps #of Unit Meters ©TEMPORARY POLE: amps SERVICE UPGRADE: ❑ amps ❑CT Service amps ❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): [3100 amps E3150amps 0200amps []_amps E]CTService 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: OTHER ELECTRICAL PROJECTS: ❑Swimming Pool❑Sign []Smoke Detectors (Qty) []Transformers KVA DMotors HP ❑ FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty_-.._ volts/amps ❑✓ REPAIRS/MISCELLANEOUS: ❑Replace Burnt/Damaged Meter Can []Safety Inspection OPanel Change ❑OH to UG tether:REPLACE DISCONNECT AND GROUNDING RODS 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: ] p+'" MA E Phone Number:In Electrical Company:;till$T R SPARKY/$RrOWTt Office Phone: Fax:(W4)2.22 as9' Co.Address:''rlZpO 5:T C�N^!S'1NG715TF(AL,RhV��:els;, City: State:W zip: License Holder:Z0REY,RR1,CF,, State Certification/Registration#: Notarized Signature of License Holder The foregoing instrument was acknowledged beforeis La day ot Y>ECCM 20L,in the State of Florida, County of �U\IxL a Notary Public Stale of Florida Signature of Notary Public Donna Quiroz My Canmfsalon GO 07900) �Personally Known OR[ ] Produced Ide tificatio E>kes 0"=021 Type of Identification: J l Cash Register Receipt ReceiptNumber City of Atlantic Beach DESCRIPTION • CITY PAID PermitTRAK $94.00 ERES19-0358 Address: 2279 SEMINOLE RD UNIT 10 APN: 168345 0175 $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 $94.00 Date Paid: Friday, December 20, 2019 Paid By: MISTER SPARKY Cashier: CT Pay Method: CREDIT CARD 041810 Printed: Friday, December 20,2019 10:18 AM 1 of 1