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167 Poinsettia St ERES21-0060 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER ti) s� ERES21-0060 041 CITY OF ATLANTIC BEACH ISSUED: 3/11/2021 800 SEMINOLE ROAD �Uf ATLANTIC BEACH, FL 32233 EXPIRES: 9/7/2021 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: 167 POINSETTIA ST ELECTRICAL RESIDENTIAL PANEL CHANGE 200 AMP $0.00 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170641 0050 SALTAIR SEC 03 COMPANY: ADDRESS: CITY: STATE: ZIP: A-ONE ELECTRICAL SERVICE INC 6254 Powers Avenue Jacksonville FL 32217 OWNER: ADDRESS: CITY: STATE: ZIP: 167 POINSETTIA STREET 1324 EDGEWOOD AVENUE JACKSONVILLE FL 32205 LLC 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. 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:$94.00 Issued Date:3/11/2021 1 of 2 **ALL ON ALA% Electrical Permit Application HIGHLIGHTED IN rte Al City of Atlantic Beach Building Department GRAY IS REQUIRED. fffirl 800 Seminole Rd, Atlantic Beach, FL 32233 ( _ vo �r ERE O Jt Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: / L 2 Poi/J-s ;A S 7 PROJECT VALUE$ JEA INFORMATION REQUIRED ON ALL PERMITS: 2C1 CAMPS al y 0 VOLTS / PHASE NEW SERVICE: ❑ Overhead ❑Underground CI 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 umber of Lighting Outlets, Including Fixtures: [11OTHER ELECTRICAL PROJECTS: P, .Ie 7 E//4/t) is et ❑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 DOH to UG ❑Other: Updated l0/17/18 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: 0J 4,JL! IMA 5 0")) Phone Number: (/p O y) Electrical Company: 4— OAJCE'I.esCT.Q / c 4 ( /eOtt(c,44EhFone: O Z/, 7.6 -003? Fax: Co.Address: I / a g L G.AK 9n) /}'/ fiQc.0. 3 1 4J4 )'City: 71.4 k State: Zip: 322-CV License Holder: / t>/-i� /C 4V State Certification/Registration#: gdC D© ©O 6 -7_5- Notarized sNotarized Signature of License Holder 111, ' (17A 60 The foregoing instrument was acknowledg d before me this ( ( day of `�-1 k'O.rk,21% he State of Florida,County of 1... t)(/CA...- 'rnal...!r"."..."."‘".""1"..."." Signature of Notary Public 0 �" TONI GINDLESPERGER �— �_ `. t� , ,, ! ;: MY COtMMISSION#GG 353178 :0. [ ] Personally Known OR[ ] Prod ed Identification '-:,4;‘,.-#.704Y EXPIRES:October 6,2023 Identification: �� I OF!„,. Bonded Tbru Notary Public Underwriters Type of