335 2nd St ERES20-0009 Kitchen Island Elec rt'` ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
fl CITY OF ATLANTIC BEACH ERES20-0009
'vo. ISSUED: 1/15/2020
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 7/13/2020
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:
335 2ND ST ELECTRICAL RESIDENTIAL KITCHEN ISLAND ELECTRIC $500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169783 0020 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
PHASE ONE ELECTRIC LLC 2076 CORONA CT JACKSONVILLE FL 32224
OWNER: ADDRESS: CITY: STATE: ZIP:
HALL BRIAN L 335 2ND ST ATLANTIC BEACH FL 32233
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.
FEES .
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 $2.40
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: $61.40
Issued Date: 1/15/2020 1 of 2
%i"`''�'f,,,> ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
limpoi,„ CITY OF ATLANTIC BEACH ERES20-0009
.J44,
J 800 SEMINOLE ROAD ISSUED: 1/15/2020
"4o':1. v" ATLANTIC BEACH. FL 32233 EXPIRES: 7/13/2020
Issued Date: 1/15/2020 2 of 2
Electrical Permit Application Res j q -0670 **ALL INFORMATION
f-' HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 E 1 E S ?0- OOc
ci
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: D_ p1 t'( PROJECT VALUE $ ,S7-)U ,c )
JEA INFORMATION REQUIRED ON ALL PERMITS: ,! .)0',/,:AMPS I)0 VOLTS / PHASE
NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps __101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑O-100 amps L101-150amps o151-200amps ❑ amps oCT Service amps
Conductor Type Size
Multi-Family(Main) Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps # of Unit Meters
[ TEMPORARY POLE: amps
L— SERVICE UPGRADE: ❑ amps nCT Service amps
[ 1 NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
1100 amps ❑150amps ❑200amps amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30am ps 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:
I !Swimming Pool cSign ❑Smoke Detectors (Qty) oTransformers KVA oMotors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
uReplace Burnt/Dama d Meter Can oSafety Inspg�ctign ❑ a el change DOH to UG
-iOther: 1J� t)Eck)) �`0,1, /` I nr....,4-( e , 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. I a
�y ' .- Lip)� --3 CqY;0,r, I
Owner Name: 6 C I
r. - P.I I Phone Number:
Ow— ( i ?„c:)
Electrical Company: ruAS5k- O �ec (c iA.
. .k. Office Phone: C(044 Jct33c - 3 Fax:
Co.Address: dc".5?( Co r0( c.".. c-1-' City: '7wY., State: FL Zip: -51-2 Lik
License Holder: C. .x. I;el CO . State Certification/Registration#: z:C) /3fifl 51 d
i/i
Notarized Signature of License Holder _�!I� ,, '.Ant
•- • ,•_• - __-.-:-__--_.....--- . . ;•ged before me this day oV t-1-A 20 Ty 411,�the S ate of Florida, County of
TONIGINDLESPERGER
4 ., ;; MYCOMMtSS10N#GG 176 Signature of Notary Public _. �,
.*' '• EXPIRES:October 6,2023
ow
'•+'`'"`"P° tkiderwrtl°s -rsonall Known OR Produced Identification
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Type of Identification: