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990 Seminole Rd ERES20-0071 Serv Upgrade ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER rj ` CITY OF ATLANTIC BEACH ERES20-0071 800 SEMINOLE ROAD ISSUED: 3/9/2020 `%. ATLANTIC BEACH. FL 32233 EXPIRES: 9/5/2020 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: 990 SEMINOLE RD ELECTRICAL RESIDENTIAL SERVICE UPGRADE TO 200 $2400.00 AMPS TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171973 0000 SELVA MARINA UNIT 03 COMPANY: ADDRESS: CITY: STATE: ZIP: MISTER SPARKY 11290 St Johns Industrial Parkway#7 JACKSONVILLE FL 32246 OWNER: ADDRESS: CITY: STATE: ZIP: BALLIS GEORGE C 990 SEMINOLE RD ATLANTIC BEACH FL 32233-5456 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. :144M., ��; ` ?T *, � ;410,4e t e DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC SERVICE CHANGE 455 0000-322-1000 200 $50.00 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: $109.00 Issued Date:3/9/2020 1 of 2 .;:ci-�''''s, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER 1 lot ', ii .:t CITY OF ATLANTIC BEACH ERES20-0071 LI, ~r 800 SEMINOLE ROAD ISSUED: 3/9/2020 N`was)`' ATLANTIC BEACH. FL 32233 EXPIRES: 9/5/2020 Issued Date: 3/9/2020 2 of 2 • ElectricsPermit Application v ;a, �i .oifrp.i ;�„?: :�� � -����,�����•-:: qtrpp • ,,,,4 � : ...,,*,,,- :; ,:.: City of Atlantic Beach Building Department ,'� _ ,f .� ,1 ), ' 4;.",�?l '' 800 Seminole Rd, Atlantic Beach, FL 32233 CR SZO - OCD7 ,pf. Phone: (904) 247-5826 Email:.Building-Dept@coab.us PERMrr#: JOB ADDRESS: 990';SMNOI,E , = %T .,.:.7.,=.:-.:-: :• I PROJECT VALUE$$ :400 Oa , 1I .., �-_,-,ti.! '�';:'.x JEA INFORMATION REQUIRED ON ALL PERMITS 2P ' :'AMPS `240 VOLTS' _ PHASE ❑NEW SERVICE: 0 Overhead DUnderground DUnderground up Pole C' tesidential(Main)Service: 170-100 amps D101-150amps 0151-200amps 0 amps #of Meters °Commercial(Main)Service: 00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size CIMulti-Family(Main)Service: 00-100 amps 13101-150amps 0151-200amps © amps #of Unit Meters ❑TEMPORARY POLE: amps 0 SERVICE UPGRADE:0200 amps OCT Service 100 amps ❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.): 0100 amps 0150amps 0200amps 0 amps [ICT Service amps ❑ ADDITIONS, REMODELS, REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30a m ps 31-100amps 101-200a m ps Appliances: 0-30amps 31-100a m ps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: #circuits @ kw Number of Lighting Outlets, Including Fixtures: LI OTHER ELECTRICAL PROJECTS: ❑Swimming Pool OSign ❑Smoke Detectors (Qty) ['Transformers KVA DMotors HP ❑ FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps ❑ REPAIRS/MISCELLANEOUS: ['Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG Either: Updated 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 l 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. .�Q.�r r v s - _ p Owner Name: BALLIS KOSMAS'``. p .,r ;'7;;;; �.,3;.� a F~" 4 .:' Phone Number.�(239)s2 +9 V� y s ?.., Electrical Company.lMtSTEa:$0AR40(M1 G10;IPA` MI:41 lPF10ffice Phone.604.002 5ti G 4r•r:t.ipv Fax:(904)222.8891 Co.Address ;111290.$ =. 0)IN,S,J UJI 1MP 141 34: } „!.. 1 City.JACK,Q:4. TWX:atqi State:10; Zip.10440P3Tit License Holder _COREY.P 10E > Y,FY ' . .' State Certification/Registration#:l _ Q`t'Y x J . - '_ ei .7'r� ,A 44.: i f< �' v Notarized Signature of Ucense Holder _ oz,,.."` M•,:: € .. \ ' "r!,'� The foregoing instrument was acknc iledgeTbefore me/s g day of i lurch 20 2U, in the State of Florida,County of �, uyet 1 Signature of Notary PublicLV' ...p Notery-Pubk State of Florida - f 4Donna Quiroz MyCommission GG 079003 .1 4.1 Personally Known OR I Produced Identification a,,, Exglres 03/02/2021 Type of Identification: >t f* Y Cash Register Receipt Receipt Number D` City of Atlantic Beach R11943 59. DESCRIPTION I ACCOUNT I QTY I PAID PermitTRAK $109.00 ERES20-0071 Address: 990 SEMINOLE RD APN: 171973 0000 $109.00 ELECTRICAL $105.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC SERVICE CHANGE 455-0000-322-1000 200 $50.00 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: R11943 $109.00 Date Paid: Monday, March 09, 2020 Paid By: MISTER SPARKY Cashier: FJ Pay Method: CREDIT CARD 10 I Printed: Monday, March 09, 2020 3:53 PM 1 of 1