338 7th ST ERES21-0155 Elec for RemodelOWNER:ADDRESS:CITY:STATE:ZIP:
DAVID & SHANNON
BOSSBALY 338 7th ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
ISLAND ELECTRIC OF THE
FIRST C PO BOX 50636 JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169894 0010 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
338 7TH ST ELECTRICAL RESIDENTIAL ELECTRIC FOR REMODEL $3500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $6.00
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 45 $27.00
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
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: 6/23/2021
PERMIT NUMBER
ERES21-0155
ISSUED: 6/23/2021
EXPIRES: 12/20/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $92.00
2 of 2Issued Date: 6/23/2021
PERMIT NUMBER
ERES21-0155
ISSUED: 6/23/2021
EXPIRES: 12/20/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $92.00
ERES21-0155 Address: 338 7TH ST APN: 169894 0010 $92.00
ELECTRICAL $88.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $6.00
ELEC LIGHTING OUTLETS, INCLUDING
FIXTURES 455-0000-322-1000 45 $27.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R16158 $92.00
Printed: Wednesday, June 23, 2021 1:28 PM
Date Paid: Wednesday, June 23, 2021
Paid By: ISLAND ELECTRIC OF THE FIRST C
Pay Method: CREDIT CARD 471934415
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16158
Electrical Permit Application ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ECCE SZ t -U I SS
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: pa 1 - i Z 9
JOB ADDRESS: 3-"S 1144 . St A ._0 PROJECT VALUE $ j OO , OC
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 2 ttC VOLTS I PHASE
I I NEW SERVICE: Overhead Underground Underground up Pole
Residential (Main) Service:
0-100 amps o101-150amps o151-200amps amps of Meters
Commercial (Main) Service:
0-100 amps o101-150amps o151-200amps amps CT Service amps
Conductor Type Size
LMulti-Family(Main) Service:
0-100 amps o101-150amps o151-200amps amps of Unit Meters
TEMPORARY POLE: amps
II 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: 30 0-30amps 31-100amps 101-200amps
Appliances: I 0-30amps I 31-100amps 101-200amps
A/C Circuits:0-60am ps 61-100amps
Heat Circuits:circuits @ kw
Number of Lighting Outlets, Including Fixtures: 15
OTHER ELECTRICAL PROJECTS:
Swimming Pool Sign Smoke Detectors Qty) Transformers KVA Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
L_iReplace 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: Boss 6Aa Phone Number:
Electrical Company: TJ . Office Phone: `1 t)i 7,•46 `qd yei Fax:
Co.Address: b` 5rif AVE )1/4.)City: 3.4X - Oct( State: C Zip: 3220
License Holder: 4l-)S.0 I . kraf State Certification/Registration#: P%(3 O0731't
Notarized Signature of License Holder AJJ SIJ Y age
The foregoing instrument was acknowledged before me this day of a ttt. I
dr
in the State of Florida,County of c
v
Pe'vBu ,, TONIGiNDLESPERGER178
Signature of Notary Public
c= MY COMMIS
GG 353
2023 [ ] Personally Known OR[ ] Produced IdentificationEXPIRES:October 6,
fizv°p' BondedThruWAIN
ublicUndenrtilersTypeofIdentification: