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128 Pine St ERES20-0278 13 Fixtures " 1'''` ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER �'' ERES20-0278 "`� CITY OF ATLANTIC BEACH ,J,111„,.._! r 800 SEMINOLE ROAD ISSUED: 12/4/2020 EXPIRES: 6/2/2021 \\\\o';1v`- ATLANTIC BEACH. FL 32233 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. 'OTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property hat may be found in the public records of this county, and there may be additional permits required from other :overnmental entities such as water management districts, state agencies, or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK 128 PINE ST ELECTRICAL RESIDENTIAL ELECTRIC - 13 FIXTURES $1100.00 TYPE OF REAL ESTATE , ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: ! NUMBER: GROUP: 170633 0000 SALTAIR SEC 03 COMPANY: I ADDRESS: CITY: ` STATE: ZIP: Wire Nuts Inc. 11710 Faye Rd. Macclenny FL 32063 OWNER: ADDRESS: CITY: STATE: ZIP: SULLIVAN WILLIAM G 128 PINE ST ATLANTIC BEACH FL 32233 YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II' 'OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT ✓IUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ECORDING YOUR NOTICE OF COMMENCEMENT. LIST OF CONDITIONS toll off container company must be on City approved list . Container cannot be placed on City right-of-way. i ,=.aria 5�`�''#)ffYriWR' wr- d 1:1f3°' ' t ;'r,4sr' r+ a+.x ar},,, ,,..a.eu ala .us.... - e DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 13 $7.80 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:$66.80 Issued Date: 12/4/2020 1 of 2 „ ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER 7► ,r CITY OF ATLANTIC BEACH ERES20-0278 \ 800 SEMINOLE ROAD ISSUED: 12/4/2020 \ori 9..// ATLANTIC BEACH, FL 32233 EXPIRES: 6/2/2021 Issued Date:12/4/2020 2 of 2 .a:.= 1, Electrical Permit Application **ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. " " 800 Seminole Rd, Atlantic Beach, FL 32233 E(-�E.SL�_C�� 7 � 'i'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: / Z? 7/1 r S? Ef'e=T 1i2Y«,.r4,,,,c.t1 PROJECT VALUE$ WO' IEA INFORMATION REQUIRED ON ALL PERMITS: /S© AMPS ZyC VOLTS /,e" PHASE I I 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 n TEMPORARY POLE: amps SERVICE UPGRADE: ❑ amps ECT 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 101-200a m ps Appliances: 0-30amps 31-100amps 101-200am ps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: / a El OTHER ELECTRICAL PROJECTS: ❑Swimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA EMotors HP n FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps V SA. to CaLAD ine_..nAS' ane., Cam REPAIRS/MISCELLANEOUS: ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH 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. / Owner Name: 70'nn‘' 't-c /lei/cr./ Phone Number: 9115 3/0 - M-G 766 Electrical Company: 14,e /flv& 271e„ Office Phone: 749 5 y5 4/Z Gr Fax: Co.Address: //7/0 /C62/4" /Qoj City: /N4-cc-ie..,,, ? State: f4 Zip: 3204 3 License Holder: ge.46 /2 G Cr W S State Certification/Registration#: E G / 3 Gam'9.,9 / 7 Notarized Signature of License Holder .►wW. (jd,„,* A,4 rJaa re.i✓4 The foregoing instrument was acknowledged before me this / da . )C .0Z13.1 he State of Florida,County of -- --- Signature of Notary Pus a� • i � sY'y''•% TONIGINDLESPERGER ,, � , ,, MY COMMISSION#GG 353178 [ ] Personally Known OR[ ] Pro ced Identification ` EXPIRES:October 6,2023 '� '..,r`��.�p,,`, Type of Identification: F� ,_:.6F,,,,, Yp Bonded Thru Notary Public Underwriters