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1596 MARITIME OAK DR - ERES20-0082 .•41,' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER t" ERES20-0082 r� , CITY OF ATLANTIC BEACH ISSUED: 3/24/2020 800 SEMINOLE ROAD -on!)r ATLANTIC BEACH, FL 32233 EXPIRES: 9/20/2020 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: 1596 MARITIME OAK DR ELECTRICAL RESIDENTIAL SWIMMING POOL ELECTRIC $600.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169505 1975 ATLANTIC BEACH COUNTRY CLUB UNIT 02 COMPANY: j ADDRESS: CITY: STATE: ZIP: DAVID PRUETTES 331 -8 PARKRIDGE AVE ORANGE PARK FL 32065 ELECTRICAL SVC. OWNER: ADDRESS: CITY: STATE: ZIP: ZALUPSKI CHRISTOPHER E 275 1ST ST S JACKSONVILLE FL 32250-6747 BEACH 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 SWIMMING POOLS 455-0000-322-1000 0 $40.00 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 Issued Date: 3/24/2020 1 of 2 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER . CITY OF ATLANTIC BEACH ERES20-0082 ISSUED: 3/24/2020 " '° �/ 800 SEMINOLE ROAD It ATLANTIC BEACH, FL 32233 EXPIRES: 9/20/2020 TOTAL:$99.00 Issued Date: 3/24/2020 2 of 2 Electrical Permit Application ..ALL INFORMATION �sT�, �N HIGHLIGHTED IN 4 City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 ``'-='i Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: \ a3"0001 JOB ADDRESS: 159(.o 1flO ►l ItY'..R- 014, Dr PROJECT VALUE$CCM(20 JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE NEW SERVICE: ©Overhead DUnderground OUnderground up Pole CIResidential(Main)Service: 00-100 amps D101-150amps 0151-200amps Q___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: D0-100 amps 0101-150amps fl151-200amps 0 amps #of Unit Meters __ TEMPORARY POLE: amps SERVICE UPGRADE: 0 amps OCT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.): ❑100 amps 0150amps D200amps 0 amps DCT Service amps ❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30amps 31-100am ps 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: DSwimming Pool Sign OSmoke Detectors (Qty) ❑Transformers KVA ❑Motors 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 Updated 10/17/18 OJther: 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 or the performance of construction. Owner Name: O..4 U.p3 1 - r_tir Phone Number: }- ' �' f •� , &'�I�a Faxt9�' Electrical Com�pa2nVt(� (ru[,,l,P$�,y�Q�-'` `�� Ice one: r 'I^y�yyy, Co.Address:3I.8 Pa(V--t'syr , to City:l�T W¢c� . OL State:�yc-��Zip:"3 License Holder: t ler . ' •) � State Certification/Registration#:C-Gl -��aga5 Notarized Signature of License Holder % / The foregoing instrument was acknowledged before me thisi ay of u♦.J�v Min the State of Florida,County of Ct-V"I:/ ; :��jr'ity 040 ROBERTS I Signature of Notary Public x? `f; Notary Public-State of Florida 0 4 u e: Commission M GA 2 t 1925 �'f�d'�� My Comm.Expires Aug Z1,2022 I [ ersonally Known OR[ ] Produced Identification • Bonded through National Notary Assn. 0 Type of Identification: ri, fCash Register Receipt Receipt Number cc.) City of Atlantic Beach R12035 DESCRIPTION I ACCOUNT QTY PAID PermitTRAK $99.00 ERES20-0082 Address: 1596 MARITIME OAK DR APN: 169505 1975 $99.00 ELECTRICAL $95.00 ELECTRICAL BASE FEE I 455-0000-322-1000 0 $55.00 ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00 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: R12035 $99.00 Date Paid: Tuesday, March 24, 2020 Paid By: DAVID PRUETTES ELECTRICAL SVC. Cashier: FJ Pay Method: CREDIT CARD 1 O Printed:Tuesday, March 24,2020 8:53 AM 1 of 1 1