325 9th St ERES20-0056 New Service ,,,1y'';'rl ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES20-0056
800 SEMINOLE ROAD ISSUED: 2/27/2020
J1319` ATLANTIC BEACH. FL 32233 EXPIRES: 8/25/2020
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:
325 9TH ST ELECTRICAL RESIDENTIAL NEW SERVICE AFTER FIRE $1200.00
200 AMP
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170036 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
HART ELECTRIC COMPANY 11084 Ker Del RD JACKSONVILLE FL 32218
OWNER: ADDRESS: CITY: STATE: ZIP:
FRIEDERICHS BRIAN PHILIP 378 6TH ST 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 NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
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: $129.00
Issued Date:2/27/2020 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER 9
ftm„`t ERES20-0056
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ISSUED: 2/27/2020
� '';'}` ATLANTIC BEACH. FL 32233 EXPIRES: 8/25/2020
Issued Date: 2/27/2020 2 of 2
REszp -- c)05 �
Electrical Permit Application ••ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd,Atlantic Beach,FL 32233
Phone:(904)247-5826 Email:Building-Dept@coab.ti, PERMIT if:
JOB ADDRESS:325 0th Ave PROJECT VALUE$1200
JEA INFORMATION REQUIRED ON ALL PERMITS:200 AMPS 240 VOLTS I PHASE
liii NEW SERVICE: 0 Overhead OUnderground ❑Underground up Pole
EResidential(Main)Service:
00-100 amps [1101-150amps 9151.200amps 0 amps R of Meters
❑Commercial(Main)Service:
00-100 amps 0101-150amps 0151.200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
00-100 amps 0101-150amps 0151-200amps ❑ amps R of Unit Meters
❑TEMPORARY POLE: amps
0 SERVICE UPGRADE:0 amps 0T Service amps
❑NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
0100 amps 0150amps 0200amps 0 amps Q T Service amps
0 ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-3oamps 31.100amps 101-200a lops
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: It circuits Ca kw
N,.....,.,...,,e,: ,ib
❑OTHER ELECTRICAL PROJECTS:
❑Swimming Pool['Sign❑Smoke Detectors (Qty)DTransformers KVA OMotors HP
❑FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty volts/amps
❑REPAIRS/MISCELLANEOUS:
jteplace Burnt/Damaged Meter Can DSafety Inspection ❑'artel Change DOH to UG
[Other: Uednted 111/17/1e
Permit becomes void it wars does not commence within a si•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 or the performance of
construction.
Owner Name:John M Hart - Phone Number:904-240-1828
Electrical Company:Had EIectnc Company _Office Phone:904-240-1828 Fax:
Co.Address:7159 Atlantic Blvd City:Jadceonville State:FL Zip:32211
License Holder:John M Hart State Certification/Registration a:ER213015151
Notarized SIgnature of License Holder C. x_ 16,...._,(
` ti,
The foregoing instrument was ac ged before me thisPdc day g(`T' .a(`820' g to the State of Florida,County of
Signature of Notary Public y7 �
,�.n�,, Centk:turn 4u.311AN
1¢`-'�} 4ot rry ea«x•:'f,°::,'"„" ['Personally Known OR ed Identification
4y Ton.1 puts Al I...ICI3 Type of identification:
swore tvo4n aatwral spars Ann
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Cash Register Receipt Receipt Number
,� City of Atlantic Beach R11843
-on Ur
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $129.00
ERES20-0056 Address: 325 9TH ST APN: 170036 0000 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
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: R11843 $129.00
Date Paid: Thursday, February 27, 2020
Paid By: HART ELECTRIC COMPANY
Cashier: FJ
Pay Method: CREDIT CARD 2
Printed:Thursday, February 27, 2020 8:48 AM 1 of 1 �"