811 Paradise Ln ERES21-0148 New ServiceOWNER:ADDRESS:CITY:STATE:ZIP:
SPRINGFIELD BUILDERS LLC 13846 ATLANTIC BLVD #204 JACKSONVILLE FL 32225
COMPANY:ADDRESS:CITY:STATE:ZIP:
MARCO ELECTRICAL
CONTRACTORS 570 MILL CREEK ROAD JACKSONVILLE FL 32211
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172376 0160 PARADISE PRESERVE
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
811 PARADISE LN ELECTRICAL RESIDENTIAL
PRIVATE PROVIDER
INSPECTIONS - NEW
ELECTRICAL SERVICE
$2000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
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
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: 6/15/2021
PERMIT NUMBER
ERES21-0148
ISSUED: 6/15/2021
EXPIRES: 12/12/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $129.00
2 of 2Issued Date: 6/15/2021
PERMIT NUMBER
ERES21-0148
ISSUED: 6/15/2021
EXPIRES: 12/12/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
f-L,e i,,,, Electrical Permit Application ALL INFORMATION
e ill'ilik'
HIGHLIGHTED IN
s City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 PO iPhare: (904 247-5826 Email:
IBuildiin^
g-Dept@coab.us PERMIT#:
JOB ADDRESS:C. t -LQ) Y PROJECT VALUE $ a
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE
04NEW SERVICE: 0 Overhead Underground ['Underground up Pole
I:Residential(Main)Service: 1
00-100 amps 0101-150amps 0151-200ampsQ33
amps of Meters t
DCommercial (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
0-100 amps 0101-150amps 1:1151-200amps 0 amps of Unit Meters
El TEMPORARY POLE: amps
El SERVICE UPGRADE: amps CT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 1:1150amps 200amps 0 amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30a mps 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['Sign Smoke Detectors Qty) Transformers KVA ['Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can Safety Inspection panel Change DOH 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.4...3r 1OwnerName: y \ r- : LAI c r Phone Number:
Electrical Company: cWr(1/4II 1 C--`e C r 1( sOffice Phone:C-CI14? -r6 »N QF axcvt_ L1Ll s:
Co.Address: 1'. \k l
1`
Q C. . w C City: CC&N-\v11 i State: f ( Zip:
le1(
1
License Holder: M S,rn{' S Ce egistration#- C,: ) eaQ
Notarized Signature of License Holder !r
71---•—• ,.r .. • ow edge. •-fore me this / day f-----. 17 ,20 i in the State of Florida, County of I vS 1
I;vPo .. B•
MY COMMISSION#GG 248197 Signature of Notary Publi LA QQQ \ ) r
mak.o EXPIRES:December 11,2022
FOF6°; Bonded ThruNotary Public Undenvritors
Personally Known OR [ ] Produced Identification
y e of Identification:
0v1 irl
e ..' vsit
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
1.!)i3
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: TH t )
VQ
I
l SrcLc,n-
Permit No. U2- ,..a I — 01 -+- Service Type(Circle One): Overhead der and
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is purely for our construction convenience, it is not required by Codes and does not
substitute for Final Inspections or the C/O(Certificate of Occupancyjffiat must be issued before occupancy,and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All roughinspectionsmusthavepriorApproval, including meter base connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early
electric service. Such action is expressly prohibited and penalized by The City of Atlantic BeachOrdinances. A violation of this Agreement shall result in a request for prompt removal of electric service
after a twenty-four hour notice.
4. "Early Power"release authority is the Electrician and/or the Contractor and must not occur before:
a. Equipment,devices and fixtures are installed(or blanked off)safely.b. Panel is complete with breakers and cover, and(labeling required at final inspection).
c. Service connection and grounding is complete.d. The electric system has safely passed through electrical check.
e. Meter can is permanently marked with address.
f. Temporary address numbers displayed(Permanent numbers are required for C/O).
5. This fully completed form is to be submitted to the Building Department by hand,mail or fax.
6. Future such Agreements will not be accepted from those who violate any one of the above items.
J; I ,, •
CONTRACTOR DATE " — 2 7 T --1..3 -z_1,
PRINT NAME e--_.. ,e`-``L \J Psi
ELECTRICIAN U' DATE I I 1 (<)c} q--Ia
PRINT NAME XE—AJ)'
r,i i r ,...
800 Seminole Road,Atlantic Beach FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 http://www.coab.us revised 01 30 09