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1792 ATLANTIC BEACH DR ERES25-0127 Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: ERVIN CHRISTOPHER W 1792 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: AMERICAN ELECTRICAL CONTRACTING, INC.9016 Phillips Highway JACKSONVILLE FL 32256 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169505 1625 ATLANTIC BEACH COUNTRY CLUB UNIT 02 JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1792 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL ELECTRIC REPAIRS $2050.00 FEES 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 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: 4/28/2025 PERMIT NUMBER ERES25-0127 ISSUED: 4/28/2025 EXPIRES: 10/25/2025 ELECTRICAL RESIDENTIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $94.00 ERES25-0127 Address: 1792 ATLANTIC BEACH DR APN: 169505 1625 $94.00 ELECTRICAL $90.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00 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: R30448 $94.00 Printed: Monday, April 28, 2025 4:57 PM Date Paid: Monday, April 28, 2025 Paid By: AMERICAN ELECTRICAL CONTRACTING, INC. Pay Method: CREDIT CARD 5 1 of 1 Cashier: NA Cash Register Receipt City of Atlantic Beach Receipt Number R30448 LORID JOB ADDRESS ELECTRICAL PERMIT APPLICATION City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 Phone: (904)247-5826 Email: Building-Dept@coab.us 1792 Atlantic Beachor FOR INTERNAL OFFICE USE ONLY PERMIT # **ALL information required to process PROJECT VALUE$ 2050 Underground Underground up Pole JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS 200 VOLTS 240 PHASE NEW SERVICE:Overhead Residential (Main) Service: 0-100 amps 101-150 amps 151-200 amps Commercial (Main) Service: 0-100 amps 101-150 amps 151-200 amps amps # of Meters amps CT Service amps Conductor Type Conductor Size Multi-Famil (Main) Service: 0-100 amps 101-150 amps ☐ 151-200 amps ☐amps # of Unit Meters TEMPORARY POLE:amps SERVICE UPGRADE:amps CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 100 amps ☐ 150 amps ☐ 200 amps☐amps CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches:0-30 amps 31-100 amps 101-200 amps Appliances:0-30 amps 31-100 amps 101-200 amps A/C Circuits:0-60 amps 61-100 amps Heat Circuits:# circuits @ kw # of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS Generator Whole house (ATS) or Stand alone ☐ Swimming Pool ☐ Sign FIRE ALARM SYSTEM (Requires 1 set of digital plans): Quantity volts/amps REPAIRS/MISCELLANEOUS: Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG Other: Install Nema 14-50 autlet 3 Smoke detector NOTICE: Permit becomes expired if work does not commence within a six month period or work is suspended or abandoned for six months. 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. PROPERTY OWNER Name Paula trvin ELECTRIC COMPANY Name American Electrical Contracting Address 9016 Phillips Highway License Holder Billy Frick Phone 904-728-2784 Phone 904-737-7770 City Jacksonville State FL Zip 32256 State Certification/Registration#13007311 "In lieu of signed, sworn and notarized signatures of the property owner, agent and/or contractor, and under penalties of perjury, I declare that I have read and examined the foregoing application and that the facts stated in it are true and correct." rdSIGNATURE OF CONTRACTOR Earl Frick PRINT OR TYPE NAME OF CONTRACTOR 4/24/25DATE ERES25-0127