1721 ATLANTIC BEACH DR ERES24-0002 . tyJ\l�, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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OECITY OF ATLANTIC BEACH 2
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ISSUED:ERE51/3/20244-0002
800 SEMINOLE ROAD
`'';�" ATLANTIC BEACH FL32233 EXPIRES: 7/1/2024
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:
1721 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL POOL ELECTRIC $2000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1435 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
OCEAN CURRENTS S JACKSONVILLE
511 LOWER 8th ST FL 32250
ELECTRICAL LLC BEACH
OWNER: ADDRESS: CITY: ` STATE: ZIP:
GREGORY A NELSON 523 SELVA LAKES CIRCLE 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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
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: $99.00
Issued Date: 1/3/2024 1 of 2
E- )c)c:) L L- C-)CC CD
Electrical Permit Application **ALL INFORMATION
��ty lr„ HIGHLIGHTED IN
- s City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 �7/j
,_`j;:,9 ', Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: EREGS -t -G(`
JOB ADDRESS: n II Ai-Iuy1\-"1 C h<7,- ,A,-. C-), a PROJECT VALUE $ Z toCa
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 2 O VOLTS ( PHASE
i I NEW SERVICE: - Overhead ❑Underground ❑Underground up Pole
Residential (Main) Service:
0-100 amps 101-150amps D151-200amps ❑ amps #of Meters
-Commercial (Main)Service:
0-100 amps D101-150amps a151-200amps amps DCT Service amps
Conductor Type Size
r Multi-Family(Main) Service:
0-100 amps :101-150amps D151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: amps rCT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
L100 amps 150amps 200amps amps DCT 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:
Swimming Pool ❑Sign ❑Smoke Detectors (Qty) _ Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 1 set of digital plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can ❑Safety Inspection . Panel Change DOH to UG
❑Other:
Updated 10/11/23
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: (ofec- I\Qksew. Phone Number:
Electrical Company: OC,ecar CLrcevtk EQC LLC. Office Phone: g0L( - L-(y14 -<3O(03 Fax:
Co.Address: S I( (rower F5t" Aoe. 5 City: i& to c_I-. State: VA Zip: 32250
License Holder: S--e J e,-, YV1 o,r ". State Certification/Registration#: E2. 13O,1 6G\5 3
Notarized Signature of License Holder - J,_/ c----
The foregoing instrument was acknowledged before me this day f (..:tlie State of Flo 'da,County ofa A/"Com-
Signature of Notary Public p . _
2;• ``��-. TONI GINDLESPERGER 4-1 Personally Known OR[ 1 Produced Identification
-a „t MY COMMISSION#HH 407122 Type of Identification:
`>rFOF i`nN,��'J EXPIRES:October 6,2027
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