358 11th ST ERES22-0046 i�Vi-j ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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ERES22-0046
CITY OF ATLANTIC BEACH
ISSUED: 3/8/2022
800 SEMINOLE ROAD EXPIRES: 9/4/2022
ATLANTIC BEACH. FL 32233
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:
PRIVATE PROVIDER
358 11TH ST ELECTRICAL RESIDENTIAL INSPECTIONS - 200 AMP $10000.00
NEW SERVICE
TYPE OF REAL ESTATE ZONING: BUILDING USE I SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170083 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
OCEAN CURRENTS S JACKSONVILLE
511 LOWER 8th ST FL 32250
ELECTRICAL LLC BEACH
OWNER: ADDRESS: CITY: , STATE: ZIP:
ATLANTIC BEACH BUILDER 960 PARADISE CIR ATLANTIC BEACH FL 32233
LLC
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 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
Issued Date:3/8/2022 1 of 2
rsff,, Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
iT City of Atlantic Beach Building Department GRAY IS REQUIRED.
':"44•F'''' 800 Seminole Rd, Atlantic Beach, FL 32233 E R ESL._ 5041
`0' 'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: ? Q
'5O . I,+14 Sig -t
A . P,cI., PROJECT VALUE $ 1O1OC)
C)
JEA INFORMATION REQUIRED ON ALL PERMITS: 21)0 AMPS 240 VOLTS I PHASE
gl NEW SERVICE: 0 Overhead rtindergrountl ['Underground up Pole
DResidential(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 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:
❑0-100 amps 0101-150amps 1:1151-200amps 0 amps #of Unit Meters
El TEMPORARY POLE: amps
❑SERVICE UPGRADE: ❑ amps OCT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps ❑CT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 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
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
['Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Jther: 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: 5'F2v2v1 YV1cv vW if) Phone Number: ctO(4 L4( $0(o3
Electrical Company: OC-E }71 CU RQ1= TS E1E 1k1CA ice Phone: Coi LH LI 2065 Fax:
Co.Address: 51( LOWER. t" Aut. 5oto,-1 City: _SCAM lack State: Ci Zip: 32250
License Holder: e[Ca1Q /x/101 v1 V) State Certification/Registration If:
Notarized Signature of License Holder ._ Wo✓"-"
The foregoing instrument was acknowledged before me this day • ,1 i '.1 0 4 the St e of Florida, County of 3 VCA....
Signature of Notary Public i 411111)
Et�a:P TONI GINDLESPERGER [ ]Personally Known OR[ rodu d Identification
c; MY COMMISSION#GG 353178
A.�� Type of Identification:
° ;'� EXPIRES:October 6,2023
,,oP,f`O,'' Bonded Thru Notary Public Underwriters
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