417 Aquatic Dr ERES24-0273 Permit/Appm.
ri -,V.Ir4 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
:� ,O- ' ERES24-0273
4 CITY OF ATLANTIC BEACH ISSUED: 11/7/2024
Alf 800 SEMINOLE ROAD
`"4�.3 >'' ATLANTIC BEACH. FL 32233 EXPIRES: 5/6/2025
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:
40 Amp Range Circuit/ 20 $500.00
417 AQUATIC DR ELECTRICAL RESIDENTIAL Amp Micro Circuit
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171818 5284 AQUATIC GARDENS
COMPANY: ADDRESS: CITY: STATE: I ZIP:
DESTINY ELECTRIC 179 College Dr #9 ORANGE PARK FL 32065
OWNER: ADDRESS: CITY: STATE: ZIP:
W V PROPERTIES LLC 601 MAIN ST 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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $6.00
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: $65.00
Issued Date: 11/7/2024 1 of 2
Electrical Permit Application **ALL INFORMATIONHIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
. , 800 Seminole Rd, Atlantic Beach, FL 32233 ((�� n
�°;:'" Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMrr#: ��L LLL U2i 3
JOB ADDRESS: I-1 n AQ1/4J \(.. 1)2• PROJECT VALUE$ 5-00
JEA INFORMATION REQUIRED ON ALL PERMITS: 15- J AMPS 240 VOLTS 1 PHASE
❑ NEW SERVICE: o Overhead °Underground oUnderground up Pole
°Residential(Main)Service:
❑0-100 amps o101-150amps o151-200amps o amps #of Meters
oCommercial(Main)Service:
00-100 amps o101-150amps o151-200amps ❑ amps oCT Service amps `
Conductor Type Size
oMulti-Family(Main)Service:
00-100 amps o101-150amps o151-200amps o amps #of Unit Meters
TEMPORARY POLE: amps
❑ SERVICE UPGRADE: o amps oCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
c100amps °150amps ❑200amps o amps oCT Service amps
fl 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 oSign ❑Smoke Detectors (Qty) ❑Transformers KVA oMotors HP
n FIRE ALARM SYSTEM (Requires 1 set of digital plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspe tion ❑Panel Change ❑OH to UG Updated l0/11/23
['Other: ItJSt(n\1 I�,W L Q f%( (tac,
ac C.,,C.,.; . w finis-rA -. me, ZO a ri\;c ao �,lrc �
L,
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. ,._ Phone Number: ���' 1t�3'US�
Owner Name: )1 ANcL,INI(.1 CNC \Pr�
Electrical Company: pQmTlty� �i.16(, u L
Q L (._ Office Phone: 101A--10B•c1 OW Fax:
Co.Address: 11C\ CA11e,y- O(-• City: 0(,..nr,Z ()NA, State: F1 Zip: .310v5--
License
310vsLicense Holder: ) fJ(.- MILK S(.H�Q�+ State Certification/Registration#: E.C. - 1300 31110
Notarized Signature oflicense Holder + --
The foregoing instrument was acknowledged before me this 711%, day ooflllM '',,er,20 0 in the State of Florida,County of C/c/
Signature of Notary Public,... --711,-- -----
ublics // �f'V r
[ ] Personally Known OR[4]Produced I entification
at*..,
GA3RIEL JONES Type of Identification:r (,,.- 'cert �,'�P� L'Ce�n (.2. A. �1 Notary Public-State of Florida 0
\- Commission r HH 603533 1
` 0s! My Comm.Expires Oct 22.2028 0
