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314 Plaza ERES20-0126 Bathroom RemodelOWNER:ADDRESS:CITY:STATE:ZIP: JANET LAMBERT LIVING TRUST 314 PLAZA ATLANTIC BEACH FL 32233-5442 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169956 0000 ATLANTIC BEACH JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 314 PLAZA ELECTRICAL RESIDENTIAL Bathroom Remodel Electric $0.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 11 $6.60 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: $65.60 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 1Issued Date: 6/11/2020 PERMIT NUMBER ERES20-0126 ISSUED: 6/11/2020 EXPIRES: 12/8/2020 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $65.60 ERES20-0126 Address: 314 PLAZA APN: 169956 0000 $65.60 ELECTRICAL $61.60 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 11 $6.60 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: R12076 $65.60 Printed: Thursday, June 11, 2020 5:51 PM Date Paid: Monday, June 08, 2020 Paid By: JANET LAMBERT LIVING TRUST Pay Method: CHECK 6069 1 of 1 Cashier: CT Cash Register Receipt City of Atlantic Beach Receipt Number R12076 Updated 10/17/18 Electrical Permit Application **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: __________________ JOB ADDRESS: ______________________________________________ PROJECT VALUE $_____________________ JEA INFORMATION REQUIRED ON ALL PERMITS: ______AMPS _____ VOLTS _____ PHASE NEW SERVICE: □ Overhead □Underground □Underground up Pole □Residential (Main) Service: 0-100 amps □101-150amps □151-200amps □□_______amps # of Meters ______ □Commercial (Main) Service: 0-100 amps □101-150amps □□151-200amps □_______amps □CT Service ______ amps Conductor Type_________________ Size _______________ □Multi-Family (Main) Service: 0-100 amps □101-150amps □151-200amps □□_______amps # of Unit Meters ______ TEMPORARY POLE: _______amps SERVICE UPGRADE: □_______amps □CT Service ______ amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 100 amps □150amps □□200amps □_______amps □CT Service ______ amps ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: _______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 □Smoke 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 □OH to UG □Other:____________________________________________________________________________________________ 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: _________ _______ Phone Number: Electrical Company: Office Phone: ___ Fax: Co. Address: City: State: Zip: License Holder: ____________ State Certification/Registration #: Notarized Signature of License Holder The foregoing instrument was acknowledged before me this _____day of ___________, 20___, in the State of Florida, County of __________ Signature of Notary Public [ ] Personally Known OR [ ] Produced Identification Type of Identification: ______________________________________________________________