Loading...
972 Ocean Blvd ERES20-0263 Safety ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER 5 CITY OF ATLANTIC BEACH ERES20-0263 ISSUED: 11/4/2020 800 SEMINOLE ROAD j o' ATLANTIC BEACH, FL 32233 EXPIRES: 5/3/2021 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: 972 OCEAN BLVD ELECTRICAL RESIDENTIAL ELECTRIC SAFETY $200.00 INSPECTION TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170343 0000 ATLANTIC BEACH PARKWAY COMPANY: ADDRESS: CITY: STATE: ZIP: Service of Knights LLC 415 N 4th Avenue Jacksonville Beach FL 32250 OWNER: ADDRESS: CITY: STATE: ZIP: ZIEBELMAN PENNY J 972 OCEAN BLVD ATLANTIC BEACH FL 32233-5432 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\ 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 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 SAFETY INSPECTION 455-0000-322-1000 0 $50.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$109.00 Issued Date: 11/4/2020 1 of 2 rt!...v,•f,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER 'r f ERES20-0263 �r CITY OF ATLANTIC BEACH �'�l ISSUED: 11/4/2020 800 SEMINOLE ROAD �`ltlw ATLANTIC BEACH, FL 32233 EXPIRES: 5/3/2021 Issued Date: 11/4/2020 2 of 2 Di ', i$Lu /-) - \ SoktoL35 Electrical Permit Application **ALL INFORMATION MI" HIGHLIGHTED IN ;.. City of Atlantic Beach Building Department GRAY IS REQUIRED. �' 800 Seminole Rd, Atlantic Beach, FL 32233 C R Es -0Z(03 Ph ne: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: ,� (13(_, -._) b PROJECT VALUE $ 2 0 JEA INFORMATION REQUIRED ON ALL PERMITS: Zvt, AMPS 2 VOLTS 7 PHASE NEW SERVICE: ❑ Overhead DUnderground 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 n TEMPORARY POLE: amps ❑ SERVICE UPGRADE: ❑ amps [ACT Service amps ❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): ❑100 amps n150amps ❑200amps amps ECT 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 n FIRE ALARM SYSTEM (Requires 3 sets of plans): l O J © U+ Qty volts/amps a7 _ 0000 ! O`7 3 n REPAIRS/MISCELLANEOUS: ❑Replace Burnt/Damaged M ter Can Safety Inspection ❑Panell'4Change ❑OH to UG ❑Other: 54 '�'y 2r ATt IL .,,,54. 5wi;/44 Updated10/17/18 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. Owner Name: l IAA 1^ Q f Qb.i.:JCIC Phone Number:9["�4�_ 3— ca/ l Electrical Company: 4Cr 6'%c. n o l /1 c Office Phone: (t P al) / k -3 f c S Fax: f/ - Co.Address: -f,/c..- c( ///� /0�— City: Ar. /Z_44 State: J Z Zip: 3 7--5-0 License Holder: AIL, 70,41 / . State Certification/Registration#: f.0 i 3 a/- s-32.9 Notarized Signature of License Holder/ / , s The foregoing instrument was ackno edged ore me =• day .f ,1t -i_fi th State of Florida,County of ,,,,; ,;Y,-. tF2'.. .-;•:7e Signature of Notary Public _ •_ .- . x L f--.7h.:i .. , ::;:i;J;NOLESPERGER ' %i : IF;;g,1MIESION 0 GG 353178 [ ] Personally Known OR[ ] Produced Identification ii E;PIRES:October6,2023 Type of Identification: el '. c ,dad Nu Notary Public Underwriters c. . . -