1935 Brista De Mar Cir ERES21-0234 Remodel ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
$014*,
ERES21-0234
a CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 9/27/2021
ATLANTIC BEACH. FL 32233 EXPIRES: 3/26/2022
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:
1935 BRISTA DE MAR CIR ELECTRICAL RESIDENTIAL REMODEL - ELECTRIC $5000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1656 SELVA NORTE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
Service of Knights LLC 415 N 4th Avenue Jacksonville Beach FL 32250
OWNER: ADDRESS: CITY: STATE: ZIP:
JOSEPH PROVENZA 1935 BRISTA DE MAR DR 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 $8.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 32 $19.20
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:$86.20
Issued Date:9/27/2021 1 of 2
�fr' PS"'% ELECTRICAL RESIDENTIAL PERMIT
ERMIT NUMBER
JS �' ERES21-0234
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ISSUED: 9/27/2021
�`"=;�9~ ATLANTIC BEACH, FL 32233 EXPIRES: 3/26/2022
Issued Date:9/27/2021 2 of 2
Electrical Permit A pnlication **ALL INFORMATION
<-,---;,-,,/: I'M HIGHLIGHTED IN
µ ` City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 REs i �,
"' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: i f z I-
JOB ADDRESS: ' `i 5,---T- J7,.,IC; //c" /1/14v (i'i-. PROJECT VALUE $ 5-0 OO
JEA INFORMATION REQUIRED ON ALL PERMITS: 2r9O AMPS /7 VOLTS 1 PHASE
n NEW SERVICE: ❑Overhead ❑Underground ['Underground up Pole
Dtesidential (Main)Service:
1=10-100 amps D101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
00-100 amps D101-150amps 1:1151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
❑SERVICE UPGRADE: El amps ❑CT Service amps
n NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps ❑200amps 0 amps ❑CT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 20 0-30amps 31-100amps 101-200amps
Appliances: 4/ 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: /Z
OTHER ELECTRICAL PROJECTS:
['Swimming Pool Sign '14Smoke Detectors y (Qty) ❑Transformers KVA ['Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
['Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change 'DOH to UG
❑]they: 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:
,,,e Pre wH Z i Phone Number:
Electrical Company: .0--0-0.(-, 434C /4,,S/ts Office Phone: 74 3 17'((7 Fax:
Co.Address: el/r f! ✓1I // / City: AV, %JC4,.< State: (-'Y Zip: Sit J,
License Holder: - /moi(�.,,, N,Gs State Certification/Registration#: C( 1 fr3O I-s--5e 1
Notarized Signa re of License Holder
f 44 4._.
•_i ument was acknowled d before m�this day of ►, $ 4,1 in the .tate of Florida,County of 4raX
��. E°`.4;-: TONT GINDLESpERGER Signature of Notary Public j_ ,_
"` :� MY COMMISSION#GG 353178
�'O` EXPIRES:October 6,2023Personally Known OR[ ] Produced Identification
": F F,`°c:.'•;
Bonded7hn,NotarypublicUnderwr;ters Type of Identification: