1747 Seminole Rd ERES20-0004 Replace Feeder l'ric);) ELECTRICAL RESIDENTIAL PERMITPERMIT NUMBER
ERES20-0004
CITY OF ATLANTIC BEACH
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r800 SEMINOLE ROAD ISSUED: 1/8/2020
f~�`'';yi" ATLANTIC BEACH. FL 32233 EXPIRES: 7/6/2020
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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:
1747 SEMINOLE RD ELECTRICAL RESIDENTIAL REPLACE FE BDEDR LINE UG IS $500.00
TYPE OF REAL ESTATE ZONING: 1 BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169639 0100 OCEAN GROVE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266
OWNER: ADDRESS: CITY: STATE:; ZIP:
KIRK ADAM G 1747 SEMINOLE RD 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
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
I
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
TOTAL: $94.00
Issued Date: 1/8/2020 1 of 2
r . ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES20-0004
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800 SEMINOLE ROAD ISSUED: 1/8/2020
V ATLANTIC BEACH. FL 32233 EXPIRES: 7/6/2020
Issued Date: 1/8/2020 2 of 2
,1 #N fi Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
‘ City of Atlantic Beach Building Department GRAY IS REQUIRED.
sr
800 Seminole Rd, Atlantic Beach, FL 32233 GR ES
zo-vao4-
"E,;i v, Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: ri't '&iUS\0 if.. I?l Z3 3 PROJECT VALUE $ 500-°0/
JEA INFORMATION REQUIRED ON ALL PERMITS: .00 AMPS 2-70 VOLTS / PHASE
❑ NEW SERVICE: ID Overhead ❑Underground ❑Underground up Pole
DResidential (Main)Service:
00-100 amps ❑101-150amps 0151-200amps ❑ amps #of Meters
OCommercial (Main)Service:
00-100 amps 0101-150amps D151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
i--i TEMPORARY POLE: amps
❑SERVICE UPGRADE: 0 amps OCT Service amps
El NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps OCT Service amps
I ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30a mps 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 ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
DReplace Burnt/ a aged Meter Can Saf ty Inspection Panel C ange MOH top
Vother: (1,161" A. �� ;i �I,lb� N11,6 '�, /ale ( , .Q;,15A t �1� ,ktioll4i,
°fct
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I •reby 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 ive authority to violate the pro)4ons of any other state or local law regulation construction or the performance of
construction. "�/lye �yifj� / l r� n
Owner Name: L1C(lh1�l�r C �,,,•- --'.""�" '�""""'fr =-••_= 4— Phone Number: qUY'&/(5-�.7/1/
Electrical Company: ej�d e(it,( Cm. i1�1,1) 1\��ffice Phone: go''I- ✓,r, 91 Fax:
Co.Address: ' • ��� L ��/�
es 2301 �.ih City: ,r .w� State: Zip:�1��ceP
I se Holder: i [... # ► i VjAPC1 State Certification/Registration#: /300Z��T 9sized Signature of License Holder
The foregoing instrument was acknowledged befor a this da of .1 ) , . 206 ' e State of Florida,County of OtAAd
_e. : • J1aIANWALKER Signature of Notary Publi c
MY COMMISSION#GG 006111
K, �` EXPIRES:June 27,2020personall Known ORroduced Identification
' 9 Bonded T1w Notary Public U t [ I
.g„ .• Type of Identification: