183 Seminole Rd ERES20-0012 30 Fixtures ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
z * \ CITY OF ATLANTIC BEACH ERES20-0012
ISSUED:800 SEMINOLE ROAD 1/23/2020
--1.04119',��. ATLANTIC BEACH. FL 32233 EXPIRES: 7/21/2020
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:
183 SEMINOLE RD ELECTRICAL RESIDENTIAL ELECTRIC PANEL CHANGE, $7500.00
30 FIXTURES
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: ` NUMBER: GROUP:
170606 0000 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: I ZIP:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: I CITY: STATE: ZIP:
BERMAN HANNAH S ET AL 183 SEMINOLE RD ATLANTIC BEACH FL 32233-4140
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.
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: $94.00
Issued Date: 1/23/2020 1 of 2
?i�'''' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER I
lit
2s ERES20-0012
CITY OF ATLANTIC BEACH
LIISSUED: 1/23/2020
s / 800 SEMINOLE ROAD
I.
EXPIRES: 7/21/2020
- ATLANTIC BEACH. FL 32233 :
Issued Date: 1/23/2020 2 of 2
rlectricai Fermat Application """"r HTEDI "
HIGHLIGHTED IN
p,�ih' City of Atlantic Beach Building Department GRAY IS REQUIRED.
'b 800 Seminole Rd, Atlantic Beach, FL S 32233 E Re_s `�
'4'77-' Phone:(904) 247-5826 Email: iii,isni. li tl: PERMIT N: ( ( - t7
JOB ADDRESS: I x ?j _r, Cr1'1)/\C):I L l'' ' PROJECT VALUE$ I.500
LEA INFORMATION REQUIRED ON ALL PERMITS:dal) AMPS t7 1( VOLTS / PHASE
Li]NEW SERVICE: O Overheod ^Undergrou':d ! Underground up Pole
,Residential(Main)Service: —
r.0-100 amps .101-150amps i1S1-200amps r amps N of Meters
Commercial(Main)Service:
00100 amps ,..101.150amps n151-200amps l:_____amps rCT Service amps
Conductor Type , Size
Multi-Family(Main)Service:
00100 amps 7101 150amps nlSl-200amps _._ amps rr of Unit Meters
[_J TEMPORARY POLE: amps
SERVICE UPGRADE: I., _amps ;:CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
1,100 amps ; ISoamps ;,200amps , amps ;JCTService amps
X ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches• a`i _0.30amps 31•100amps _ I01•200amps
Appliances: _-_ 0.30arnps . __ 31.100amps _ _ _ 101.200amps
A/C Circuits: _0-60amps ^61.100amps
Heat Circuits: U circuits fh kw
Number of lighting Outlets, Including Fixtures:_30_
C-.1 OTHER ELECTRICAL PROJECTS:
Swimming Pool 'Sign .)Smoke Detectors _ (qty) r.TransformerikVA 'iMotors HP
— "--- --
f FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty _ ,volts/amps .
1.1 REPAIRS/MISCELLANEOUS: •
,Replace Burnt/Damaged Meter Can uSafety Inspection ;X'enel Change LION to Ur,
Other.
-��--- --_..—_—.�-._..-_ ...—.-.__.-.—. __� — . ucaareo 10/1 7/18
Permit becomes%old 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 he 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 Slate nr!oral yaw regulation construction or the performance of
consirucl a,, er /�
Owner Name: 4 I r )•-•AC (r's {'-)C"f✓\
Phone Number:
Electrical Company. [40-11 '
-i I t 1 r e.t'f 1 C Office Phone: D(41- c7A i L I Fax: Di-ii-c at-I 1
Co Address C2 ..__`S. T"rt 4L/'(-• ` Zip: v [ J(/
i State;{I
license Holder:- ('t\�1'K ‘4'...,—
" City:. C t 4 State Certifica •• • .- (-ration fi C f�J, 5 D 3
Notarized Slynorure oJtitense Holder__ ` - _...
The foregoing instrument was acknowledged before me this- .`day . I \ lYJC 2t�_�V 1n th - o fonds,County of
TLT
SI Mute of Notary Put t
I I Personally Known R-I I Produced Iden cation
Type of identification
• Tracey Paulsen Tracey Paulsen
NOTARY PUBLIC: e•t�
y STATE OF FLOE?f: NOTARY PUBLIC
t st` ' Comm# iTi :,. _STATE OF FLORIDA
• mio.,•• • GG2127^ y j{'•Cortmtlt GG212743
141' Expires 473Crr rwttae
J4ct lei Expires 4/30/2022
ji*
Cash Register Receipt Receipt Number
City of Atlantic Beach R11530
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $94.00
ERES20-0012 Address: 183 SEMINOLE RD APN: 170606 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: R11530 $94.00
Date Paid: Thursday,January 23, 2020
Paid By: KNIGHT ELECTRIC LLC
Cashier: CT
Pay Method: CREDIT CARD 072336
Owe
Printed:Thursday,January 23, 2020 8:24 AM 1 of 1
ri LANN
Cash Register Receipt Receipt Number
slg p
z City of Atlantic Beach R11744
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $55.00
ERES20-0012 Address: 183 SEMINOLE RD APN: 170606 0000 $55.00
ELECTRICAL ROUGH 02/14/2020 RBE $55.00
ELECTRICAL ROUGH 02/14/2020 RBE 455-0000-322-1002 0 $55.00
TOTAL FEES PAID BY RECEIPT: R11744 $55.00
Date Paid: Tuesday, February 18, 2020
Paid By: KNIGHT ELECTRIC LLC
Cashier: FJ
Pay Method: CREDIT CARD 1
/='-
Printed:Tuesday, February 18, 2020 8:52 AM 1 of 1