1993 COLINA CT ERES21-0237 0-4 -, , ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
,t1 ' ', ERES21-0237
s, CITY OF ATLANTIC BEACH
v 800 SEMINOLE ROAD ISSUED: 9/29/2021
.-o:a 9� ATLANTIC BEACH, FL 32233 EXPIRES: 3/28/2022
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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
1993 COLINA CT ELECTRICAL RESIDENTIAL ELECTRICAL- REMODEL $2000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1066 SELVA NORTE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
PAULA. O'QUINN INC. P 0 BOX 60185 JACKSONVILLE FL 32236
OWNER: ADDRESS: CITY: STATE: ZIP:
JACKSON &JENNIFER
SHORT 1993 COLINA CT ATLANTIC BEACH FL 32233-4530
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 APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 14 $8.40
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:$71.40
Issued Date:9/29/2021 1 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
1. 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:ER. (—(1G
JOB ADDRESS: 1993 Colina Court Atlantic Beach, FL 32233-4530 PROJECT VALUE $$ 2,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
riNEW SERVICE: 0 Overhead ❑Underground ['Underground up Pole
DResidential (Main)Service:
00-100 amps C1101-150amps 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:
❑D-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
n TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps DCT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 1:1150amps 0200amps ❑ amps OCT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 12 0-30amps 31-100amps 101-200amps
Appliances: 2 0-30amps 1 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 2
OTHER ELECTRICAL PROJECTS:
DSwimming Pool❑Sign DSmoke Detectors (Qty) aransformers KVA ['Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection [Panel Change ❑OH to UG
[Other: 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: Jackson Short Phone Number: (904)759-1003
Electrical Company: Paul A.O'Quinn, Inc Office Phone: (904)695-9108 Fax:
Co.Address: PO Box 60185 City: Jacksonville State: FL Zip: 32236
License Holder: Paul A. O'Quin State Certification/Registration 4t: EC0001748
Notarized Signature of License Holder \� _ esti
40
was ackno I-.ged before me this? Jda „ i► ' 6,' (in the State of Florida,County of �'0'.._
The foregoinginstrument
�t� F&,^ TONI GN.
NDLESPERGER ; Signature of Notary Public ` •
MY COMMISSION#GG 353175
I " EXPIRES:October 6,2023 [ ] Personally Known OR [ I Produced Identification�rsYYY;°Q'` BendedThruNotaryPublicUnderwriters Type of Identification: