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345 5th Street ERES20-0217 9/11/2020 COAB Permit Form with Conditions Enter Permit Number ERES20-0217 View Report J j i 1 of 1 � vd Find I Next 4, (:11-1W4.,,,,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER 1CITY OF ATLANTIC BEACH ERES20-0217 ='ti� , ISSUED: 9/11/2020 ROAD 800 SEMINOLE EXPIRES: 3/10/2021 •- -) ATLANTIC BEACH, FL 32233 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT LAY IhisPECTION. 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. rJOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 345 5TH ST ELECTRICAL RESIDENTIAL GENERATOR 22 kw $1250.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169865 0000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: MCCLURE ELECTRICAL 1521 Inverness Rd Fernandina Beach FL 32034 CONTRACTORS ADDRESS: CITY: 1 STATE: ZIP: GOODLING DONALD L 345 -5TH ST ATLANTIC BEACH FL 32233-5345 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. 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 REPAIRS AND MISC 455-0000-322-1000 0 $35.00 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:$94.00 atlanticbeach.trakit.net/trakit/DocumentViewer.aspx?&report=/Documents/PERMITS/COAB Permit Form with Conditions&ACTIVITYNO=ERES20-021... 1,2 Electrical Permit Application **ALL INFORMATION HIGHLIGHTED IN perNl' City of Atlantic Beach Building Department GRAY IS REQUIRED. Wir: 800 Seminole Rd, Atlantic Beach, FL 32233 ERsav -Oz. I 7 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: ;4' '5-T14 S-- • PROJECT VALUE$ /Z SG - c-Iv JEA INFORMATION REQUIRED ON ALL PERMITS: 20 AMPS 2 ' VOLTS I PHASE ❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole ❑Residential (Main)Service: ❑0-100 amps o101-150amps o151-200amps ❑ amps #of Meters ❑Commercial(Main) Service: ❑0-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main)Service: ❑0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters n TEMPORARY POLE: amps SERVICE UPGRADE: ❑ amps DCT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): ❑100 amps ❑150amps ❑200amps ❑ amps [ACT Service amps fl ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30am ps 31-100amps 101-200a m ps 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: G-6-r,(.0-�TO I 2 ZIG� - ❑Swimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP FIRE ALARM SYSTEM (Requires 3 sets of plans): , J 4 c-a_As-cer IO CAG_k Qty volts/amps n REPAIRS/MISCELLANEOUS: ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG ❑Other: 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 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. �� OwwnernerName: -,0- t. G-"0ca n L\•. S Phone Number: Electrical Company: `a-V -q E.l.{ c. :c. til Office Phone: `'dot —13-1— 4''7 0 I Fax: Co.Address: IS 2.1 `1wve..--e>S P. City: fretLti1we-40"rA State: F Zip: 3Zo34 License Holder: 'k . c CA..., i State Certification/Registration#: c--YLcoo E3 8 t E Notarized Signature of License Holder _ " �� Th- or-:oin: instrument was acknowledge. .efore me this (I day 0♦t; , 2C20 the State of Florida,County of1-� U1K� iiiYP`' TONI GINDLESPERGER •ignature of Notary Public .; ;t; MY COMMISSION#GG 353178 ' '��-e. EXPIRES:October 6,2023 ] Personally Known OR[ ] Produced Identification _ `:2:2:; Bonded Thru Notary ___ ____rltera ype of Identification: