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440 Osprey Key ERES20-0050 GFI Screen Roomr i' '''r, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER r)CITY OF ATLANTIC BEACH ERES20-0050 v 800 SEMINOLE ROAD ISSUED: 2/21/2020 r ATLANTIC BEACH. FL 32233 EXPIRES: 8/19/2020 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: 440 OSPREY KEY ELECTRICAL RESIDENTIAL GFI IN SCREEN ROOM 375.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER:GROUP: 172027 5098 SELVA LAKES COMPANY: ADDRESS: CITY: STATE: ZIP: EMPIRE ELECTRIC INC 5810 Macy Avenue JACKSONVILLE FL 32211 OWNER: ADDRESS: CITY: STATE: ZIP: MCCRARY ROBERT JR 440 OSPREY KEY 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. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 1 0.60 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: $59.60 Issued Date: 2/21/2020 1 of 2 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER 4117A*91:. CITY OF ATLANTIC BEACH ERES20-0050 ISSUED: 2/21/2020 800 SEMINOLE ROAD j; ATLANTIC BEACH. FL 32233 EXPIRES: 8/19/2020 Issued Date: 2/21/2020 2 of 2 frJn l Cash Register Receipt Receipt Number orf • rCity of Atlantic Beach R11796 DESCRIPTION I ACCOUNT I QTY PAID PermitTRAK 59.60 ERES20-0050 Address: 440 OSPREY KEY APN: 172027 5098 59.60 ELECTRICAL 55.60 ELECTRICAL BASE FEE 455-0000-322-1000 0 55.00 ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 1 0.60 FIXTURES STATE SURCHARGES 4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 2.00 TOTAL FEES PAID BY RECEIPT: R11796 59.60 Date Paid: Friday, February 21, 2020 Paid By: EMPIRE ELECTRIC INC Cashier: CT Pay Method: CREDIT CARD 8 Printed: Friday, February 21,2020 2:05 PM 1 of 1 i Electrical Permit Application ALL INFORMATION g1 , t'l' HIGHLIGHTED IN 11) City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd,Atlantic Beach, FL 32233 R Cs zO - UOS 0 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:RESAZO-D1?Z JOB ADDRESS:. 1.-L D (1c-Pre‘- VJ PROJECT VALUE$ .375,°45 JEA INFORMATION REQUIRED ON ALL PERMITS:X150 TAMPS-Z I/)VOLTS r / PHASE E NEW SERVICE: 0 Overhead ©Underground QUnderground up Pole I:Residential(Main)Service: 00-100 amps 0101-150amps 0151-200amps 0 amps of Meters Commercial(Main)Service: 00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size DMulti-Family(Main)Service: DO-100 amps 0101-150amps 0151.200amps 0 amps of Unit Meters TEMPORARY POLE: amps El SERVICE UPGRADE:amps OCT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.): 0100 amps 0150amps 0200amps 0 amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC: Outlets/Switches: 1 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 Osmoke Detectors Qty) Ofransformers KVA (Motors HP FIRE ALARM SYSTEM(Requires 3 sets of plans): Qty volts/amps 111 REPAIRS/MISCELLANEOUS: Replace Burnt/Damaged Meter Can Safety Inspection nPanel Change DOH to UG Updated 10/17/18 Other: 14 S>ICL F.l On gJPe 1 /Ccet ' 1 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 ortheperformance of construction. Phone Number. I Z Owner Name: r/ ( r • V C^ . 7 Y7/2 isr Cf Gk.1 iel C1.l fficePhone:' `5-7! Fax: ///9 Electrical Company: / f Co.Address: SClQ 4106 City: .J o• I State: fL Zip: 522// License Holder:1/lJ'10f State Certification/Registration#:UJ3on it7 Notarized Signature of License Holde;#01, i•• ,. . .a.wledged before me thisday of ' I f1/ 41, 20 int State of Florida,County of Dv up/ 4;;;., 4/ MY, JAMES M SULLIVAN Signature of Notary Public C ytllr COMMISSION 4 FF974214 EXPIRES March 22.2020X1 Personally Known OR[ roduced Identification wri»eo''s3 rioa+"h m"' Type of Identification: