2265 Beachcomber Tr ERES22-0068 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
n CITY Of ATLANTIC BEACH ERES22-0068
800 SEMINOLE ROAD ISSUED:
v ATLANTIC BEACH, FL 32233 EXPIRES:
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT ISTH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF
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.
• • • . . • r • OF • •
2265 BEACHCOMBER TR ELECTRICAL RESIDENTIAL ELECTRIC FOR REMODEL $6500.00
ZONING:TYPE OF REALESTATE SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
169463 0158 OCEAN WALK UNIT 01
COMPANY: ADDRESS:
• ADDRESS: CITY: STATE: ZIP:
KENNELLY BRADLEY JR 2265 BEACHCOMBER TRL ATLANTIC BEACH FL 32233-4567
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 455-0000-3221000 0 $6.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES455000Od221000 28 $16.80
ELECTRICAL BASE FEE 75 0000-3221000 0 $5500
STATE DBPR SURCHARGE 4550000-208-07M 0 $2.w
STATE DCA SURCHARGE 4550"208-0600 0 $200
TOTAL:$81.80
Issued Date: 1 of 1
Electrical Permit Application "*ALL INFORMATION
PP HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 t` V\r- � Z O
fant `` Phone: (904) 247-5826 Email: Building-Dent@COBb.us PERM ITIII: RF zl E L30
JOB ADDRESS: 2165 RONOACONbe-q- TV, PROJECT VALUE$ &5ffo
JEA INFORMATION REQUIRED ON ALL PERMITS: daD AMPS 1�a VOLTS.,4 PHASE
AEC((4(
❑ NEW SERVICE: ❑Overhead ❑Underground ❑Underground up Pole
oResidential(Main)Service:
00-100amps a101-150amps a1S1-200amps 0— amps #of Meters_
❑Commercial(Main)Service:
nO-100 amps c101-150amps o151-200amps ❑_amps ❑CT Service_amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑O-SOOamps 0101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE:_amps
❑ SERVICE UPGRADE: ❑ amps aCT Service_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100amps ❑150amps ❑200amps ❑_amps ❑CTService amps
❑ ADDITIONS, REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: (moo-30amps 31-100amps _101-200amps
Appliances: __J__0-30amps X31-100amps 101-200amps
A/C Circuits: 0-60amps 61-300amps
Heat Circuits: #circuits @_kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
❑Swimming Pool ❑Sign ❑Smoke Detectors (Qty) aTransformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS tJT Vt C Q0.` \C�,,
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: Updatedto/v/ta
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: �U bTIN W9"&C Phone Number: (10 31y 4x13
Electrical Company: S ✓'1aE:A+i, E>ZB ,,, ' G�ffice Phone: (901);'t34-"7'797 Fax:
Co.Address: I.19r-b "dPY DQ*01% City: State: IFL Zip: 3'7L1
License Holder: . io W`In+f-E' State Certification/Registration#: G{21tc951c, _
Notarized Signature of License Holder _... .
The foregoing instrument was acknowlged before me this yo inthe5 to of Florida,County of
TONIGINDLESPERGER Signature of Notary Public
'g �E MYOOML7ISSION#GG983778
EXPIRES:omberil,2023 [ ]Personally Known OR( I Produced Identification
Renese ThmNaw.ry Punlic uneer«eHn Type of Identification: D-C