2371 Seminole Rd ERES20-0008 8 Fixtures ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
lu• ' t ERES20-0008
CITY OF ATLANTIC BEACH ISSUED:SEMINOLE ROAD
1/23/2020
ATLANTIC BEACH. FL 32233 EXPIRES: 7/21/2020 i
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:
2371 SEMINOLE RD ELECTRICAL RESIDENTIAL ELECTRIC - 8 FIXTURES $3000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
168441 0062 ATLANTIC TOWERS
CONDOMIUM
COMPANY: ADDRESS: # CITY: STATE: ZIP:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: r STATE: ZIP:
BURT JOSEPH F II ET AL 2371 SEMINOLE RD ATLANTIC BEACH FL 32233-5971
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 8 $4.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
V '
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$63.80
Issued Date: 1/23/2020 1 of 2
��S s'—`'',i„,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER I
,J ERES20-0008
� .: ,_ s, CITY OF ATLANTIC BEACH
\v Vr 800 SEMINOLE ROAD ISSUED: 1/23/2020
`�0s"� ATLANTIC BEACH. FL 32233 EXPIRES: 7/21/2020
Issued Date: 1/23/2020 2 of 2
Electrical Permit Application "AUINFORMATiOry
r �,'.' HIGHLIGHTED IN
a. + City of Atlantic Beach Building Department GRAY IS REQUIRED
".111111, 800 Seminole Rd,Atlantic Beach, FL 32233 (--E'S ZO— ODDS
Phone:(904) 247-5826ri� Email: tits:I;i,np,L_)t W,S,.-t.aab.u. PERMITS:-____ ODDS
JOB ADDRESS:.1 r'; / 1_ .�c-t) }tt. ' r'"\ 1-=' (-�(jk PROJECT VALUE$ 11 C"' Qc)
1EA INFORMATION REQUIRED ON ALL PERMITS: r-A4 ,)AMPS VOLTS I ,PHASE
C' NEW SERVICE: c:Overhead ulindergtound underground up Pole
uResldential(Main)Service:
1'0.100 amps :;101.1SOamps .11'-i-200an•ps _ __amps It of Meters
'Commercial(Main)Service:
00.100 amps :.1O1.150amps :'151 200amps t- _______amps nCT Service__ amps
Conductor type Size
'Multi-Family(Main)Service:
00-100 amps 101-150amps n151 200arnps . amps S of Unit Meters
TEMPORARY POLE:-_-_amps
LI SERVICE UPGRADE: -_amps oCT Service amps
El NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
0100 amps ::l;camps r;200amps r f amps -)CT Service amps
If>sjADDITIONS,REMODELS,REPAIRS,BUILD.OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switrher, C,r _0-30amps ___. .il-10tiamps 101-200emps
Appliances _ _ 0.30amps _ i I•lOUvmps 101.200amps
i f(Circuits _0.60amps ___b1.100arnp-
Heel Circuits __0 circuits @__. _kir
Number of lignting Outlets, Includutg Fixtures• , .r;I.
❑OTHER ELECTRICAL PROJECTS:
uSwimming Pool .:Sign JSmoke Detectors _ ,_(Qtyl Transformers KVA oMotors HP
r I FIRE ALARM SYSTEM(Requires 3 sets of plans)
Qty_--.____ volts/amps
[] REPAIRS/MISCELLANEOUS:
uReplace Burnt/Damaged Meter Can ,;Safety Inspection i,Panel Change JOH to UG
i:Other: Mimeo Joh 7/11
Permit becomes void if woik dries not commence within a six month period or won is suspended or hha,Idoned for six months I hereby certify that I have
read This application and know the same to he true and correct. All prnviSion,of taws arid ordinances doverrmg this work will be complied with wile et
specified o,not rhe perm t does nor give authoi,ty to s,dtaie the p,osisions of any oilier liar."or local law regulation CnnSIluctlnn Of lilt performance s'
con,l,ucnon
Owner Name: ...C- �n s' '-\ (1.i_, _",y., I. -+, Phone Number,
-------- ---
Flee r cal Company _s U."17i"1 1 - C- t ti lI.�• ,rli a Phonec�t:=!_.[Ye!". Eax,r-^-J-1.7 fIt4t1?d
Co •
Address:.'-_,E,..±<7, t" t r:l�,'Y" t•; 5 C�-
___.__ �c city `7 1 Stats ( lip._)
t
License Holder: 1 s '+i= 1 ! v - § r- 1 State Certification/Registration a•t _1 -s<,i).) c 1 o)• s
Notarized Signature of license Holder-. �
the foregoing,nstrument was acknowledged before me rhi;1� mi"7.1 i 'to 2V:0 in til ' . • , .. . _-
III
Sif,Is,s of Nut„ ,,h6, l
r.ri• ,,,.lir,Known ORI Pi..,!7;n14 ldent:hf rlh"m
c Tvpr oa!dental_ca!ion
Trace% P&Sen
4`t ` , NOTARY PUBLIC
'"* -ESTATE OF FLORIDCxT> A
x ' GG212743
iiiik
�eMQ1 fres 4130/2022
i EIS Exp
r rf��Ly jl+
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_„ Cash Register Receipt Receipt Number
�', rr City of Atlantic Beach R11532
.0,119/
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $63.80
ERES20-0008 Address: 2371 SEMINOLE RD APN: 168441 0062 $63.80
ELECTRICAL $59.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING
455-0000-322-1000 8 $4.80
FIXTURES
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: R11532 $63.80
Date Paid: Thursday, January 23, 2020
Paid By: KNIGHT ELECTRIC LLC
Cashier: CT
Pay Method: CREDIT CARD 073520
Printed:Thursday,January 23, 2020 8:36 AM 1 of 1