390 Main St ERES20-0010 Interior Reno ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
uCITY OF ATLANTIC BEACH ERES20-0010
5' - ISSUED: 1/16/2020
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 7/14/2020
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:
390 MAIN ST ELECTRICAL RESIDENTIAL INTERIOR RENO - ELECTRIC $1000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170900 0600 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWNER: ADDRESS: CITY: STATE: ZIP:
WEST GROUP
ACQUISITIONS LLC 623 MAIN ST ATLANTIC BEACH FL 32233-2530
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 $3.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL: $205.00
Issued Date: 1/16/2020 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
,61 LAII, ',6
CITY OF ATLANTIC BEACH ERES20-0010
.-1-far 800 SEMINOLE ROAD ISSUED: 1/16/2020
ATLANTIC BEACH. FL 32233 EXPIRES: 7/14/2020
Issued Date: 1/16/2020 2 of 2
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Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
� City of Atlantic Beach Building Department
IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 RESZO - vC)t. (..s"� y Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 3?C QinSte-/. /9//114// c /3-P6ch 322-7 j PROJECT VALUE $ 66C0.00
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS ;AL10 VOLTS / PHASE
NEW SERVICE: u Overhead Lnderground ,iUnderground up Pole
LResidential (Main) Service:
0-100 amps o101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps ' ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
0-100 amps nl0l-150amps ❑151-200amps ❑ amps #of Unit Meters
I ) TEMPORARY POLE: amps
SERVICE UPGRADE: amps CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps 150amps 200amps amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 30 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: /c2-
OTHER ELECTRICAL /P/ROJECTS:
Swimming Pool VSign ❑Smoke Detectors ,/ (Qty) ❑Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
Replace Burnt/DamagedJVleter Can ❑Safety Inspect' n ❑Pane Chane DOH to UG
['Other: rep/P-41—rep/P-41— Swi/c4ex and reeep/ac/j/ddd ate eohi-- 6,-,90,,,/Ate,/1 /�Q/eg /
ttle/pdated 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 pvisions of any other state or cal law regulation construction or the performance of
construction. / ry/ e4 C-->i ei v p t-+� V t Phone
Owner Name: /ec-A J'p� ��r�'�`/L� 2-1 Phone Number: lot/-Co%Z- /77y
Electrical Company: 1 (-" ' -- &/ecfr/c Office Phone: 90V-64 4 L" /77N Fax:
Co.Address: //a-SS Gt./ P7 ri, City: JQ-a-sQPIvza2. State: lL Zip: 32218
License Holder:Ar.4 0"'4 A.-rtei,r4'4-' State Certification/Registration#: E/-/30/S53Y
Notarized Signature of License Holder !
_ ged before me this/ (lay of _A _ Ilk 0 the State of Florida,County of
4v TONI GINDLESPERGER `�L �_�
! 4, OM
MY CMISSION#GG 353118 Signature of Notary Public
iii.. . EXPIRES:October 6,2023
.:.,,vgoP; Bonlert,4uyczty pubic [ ] Personally Known OR[ ] Produced Identification p
Type of Identification: 1 ,C2 I ----75---7 -7 ! -2C)6,- O