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120 Mayport Rd ERES21-0088 SafetyOWNER:ADDRESS:CITY:STATE:ZIP: SINGLETON ASSOC LTD 5001 PHILIPS HWY #7B JACKSONVILLE FL 32207-9521 COMPANY:ADDRESS:CITY:STATE:ZIP: CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170723 0000 ATLANTIC BEACH SEC H JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 120 MAYPORT RD ELECTRICAL RESIDENTIAL TRAILER 52 - SAFETY INSPECTION $250.00 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 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 2Issued Date: 4/8/2021 PERMIT NUMBER ERES21-0088 ISSUED: 4/8/2021 EXPIRES: 10/5/2021 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 4/8/2021 PERMIT NUMBER ERES21-0088 ISSUED: 4/8/2021 EXPIRES: 10/5/2021 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Electrical Permit Application ALL INFORMATION f, r: -I-p p HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. t''... 800 Seminole Rd, Atlantic Beach, FL 32233S*2_CD Phone: (,9n0'4')),247-5826QEmail: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 12.0 1 U 6-6S/ * 5q PROJECT VALUE $ a 6,- JEA INFORMATION REQUIRED ON ALL PERMITS: Zoo AMPS Z'-D VOLTS I PHASE NEW SERVICE: 0 Overhead Underground ['Underground up Pole l3Residential (Main)Service: 00-100 amps 12101-150amps 0151-200amps 0 amps of Meters Commercial (Main)Service: 00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size OMulti-Family(Main)Service: 0-100 amps 0101-150amps 1:1151-200amps 0 amps of Unit Meters TEMPORARY POLE: amps SERVICE UPGRADE: amps OCT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps 0150amps 0200amps 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 Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS: Swimming Pool Sign Smoke Detectors Qty) ['Transformers KVA Motors HP FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps n REPAIRS/MISCELLANEOUS: Replace Burnt/Damaged Meter Can Xafety 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. 5) 1. , nay / ll P&Y 7 _O _1r t { C Phone Number. (f' ((f ( (ll (y 1 Electrical Company: a I (1 l Pli l/ 11.. Office Phone: 914'2_41- 56G ) fl."2 Co.Address: F.0• 5JI 4;/ City:0x Ua1Ih Stattee^ 1T Zip: p//, J, -0 License Holder: JOVIA K• 0,ra , a / / J State Certification/Registration#: L(if300s-Y Notarized Signature of License Holder l r TihP fnrP inoinstrument_was acknowledged before me this (Q day of (,( , 2021 in the State of Florida, County of D1,(VQL HADLEY NELSON o, Y" OR° Signature of Notary Public rl*:_ Notary Public-State of Florida 1 _ Commission # HH 46160 ' 3•0,„„r. My Commission Expires t Y Personally Known OR [ ] Produced Identification u n" September 23, 2024 r e of Identification: