1726 ATLANTIC BEACH DR ERES25-0140 0E.,
,I �,, ELECTRICAL RESIDENTIAL PERMITPERMIT NUMBER� ERES25-0140
�' CITY OF ATLANTIC BEACH
800 SEMINOLE ROADISSUED: 5/6/2025
�0''19ATLANTIC BEACH FL 32233 EXPIRES: 11/2/2025
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:
1726 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL PANEL CHANGE, HOT TUB $1500.00
AND GOLF CART
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1680 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
ELECTRIC PLUS 11199 LAKE BLUFF RD JACKSONVILLE FL 32257
OWNER: ADDRESS: CITY: STATE: ZIP:
TOLL FL VI LIMITED 250 GIBRALTAR RD HORSHAM PA 19044
PARTNERSHIP
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 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
Issued Date:5/6/2025 1 of 2
`"'��; ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACH ERES25-0140
800 SEMINOLE ROAD
ISSUED: 5/6/2025
\``.n;"r ATLANTIC BEACH. FL 32233 EXPIRES: 11/2/2025
TOTAL:$94.00
Issued Date:5/6/2025 2 of 2
„ : \11,',„; - ELECTRICAL PERMIT APPLICATION - FOR INTERNAL OFFICE USE ONLY
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City of Atlantic Beach Building Department PERMIT# EEZS ” v(4 0
' 800 Seminole Road, Atlantic Beach, FL 32233 **ALL information required to process
'A DM9'' Phone: (904)247-5826 Email: Building-Dept@coab.us
JOB ADDRESS 11 a (P A+\o.Mc Req c. r. PROJECT VALUE $ /,cQc 9
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS 3-00 VOLTS Lj() PHASE I
❑ NEW SERVICE: ❑ Overhead [ Underground ❑ Underground up Pole
❑ Residential (Main) Service:
E 0-100 amps ❑ 101-150 amps ❑ 151-200 amps ❑ amps # of Meters
E Commercial (Main) Service:
❑ 0-100 amps ❑ 101-150 amps ❑ 151-200 amps ❑ 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 0C 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: 5-0 Pp �d�f 4 �'�00 A c jx�e( Ctiail e ) O Anlp 90C'cad
NOTICE- Permit becomes expired if work does not commence wit fiin 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 -Dc>,ve Juan; f C kc y\e� Phone Lj�}5--)a/-jc-73
ELECTRIC I COMPANY Name E\e Cif\ C e. .) S"Tyv Phone qd L(- E13- Ea'E7
Address H I g g Lq k e RI u -P-P a , City J a X, State FV_ Zip -3.D4..S-7
License Holder4Ac i' S k{e W;6,/ltate Certification# EC- [3 1' a 57 Email Q(ecfn'c p.U s V c (/4 ff,til e 1
"In lieu of signed, sworn and notarized signatures of the property owner, agent and/or contractor, and under penalties of
erjury I declare that I have rea and examined the foregoing application and that the facts stated in it are true and correct."
SIGNATUREOF CONTRACTOR,11,,LifriLitit-‘‘ 47-
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CO CTO PRINT OR TYPE NAME OF CONTRACTOR I DATE
Electric Permit Application 02.25.2025