2233 Seminole Rd Unit 1 ERES22-0091 Electrical Permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES22-0091
800 SEMINOLE ROAD ISSUED:4/21/2022
°i1 v ATLANTIC BEACH, FL 32233 EXPIRES: 10/18/2022
CODE,MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
AND CITY OF • • 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:
2233 SEMINOLE RD UNIT 1 ELECTRICAL RESIDENTIAL ELECTRICAL FOR KITCHEN $1000.00
REMODEL
TYPE • BUILDING
• SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169519 0102 OCEAN VILLAGE ONE
CONDO
COMPANY: tr •
FIRST CHOICE ELECTRIC 716 N VALLEY FORGE RD NEPTUNE BEACH FL 32266
INC
• ADDRESS:
KARPF BERNHARD M 128 6TH AVE p4 BROOKLYN NY 11217
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-00DO-322 1" 3 $1.80
ELECTRICAL BASE FEE 4550000-322-1000 0 $5500
STATE DEER SURCHARGE 455-0000-2080700 0 $300
STATE DCA SURCHARGE 455-COD1208OECD 0 $2.00
Issued Date:4/21/2022 I of 2
jElectrical Permit A lication ""ALL INFORMATION
to
N
PP HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ARE�SZZ - (D09
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: r 27
JOB ADDRESS: 72 33 Seu t sal X ua.+v\ 4 I PROJECT VALUE$ ),65 - -oe
JEA INFORMATION REQUIRED ON ALL PERMITS:--L�j_G)lMPS 'Z4 c1VOLTS--J-#PHASE
❑ NEW SERVICE: ❑Overhead ❑Underground ❑Underground up Pole
❑Residential(Main)Service:
oG-100amps n101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service:
uO-100amps n101-150amps u151-200amps o amps oCT Service_amps
Conductor Type Size
❑Mufti-Family(Main)Service:
oO-100amps ❑101-150amps n151-200amps ❑_amps #of Unit Meters_
❑TEMPORARY POLE:_amps
❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
0300amps o150amps o200amps ❑ amps DCTService_amps
❑ ADDITIONS, REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: Z 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 o5ign oSmoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
qty volts/amps
❑ REPAIWMISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ` ❑$7afety Inspection ❑Panel Change ❑OH to UG
❑Other: M1i l c-�Cv� QCKod 2 Updoretl 10117118
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: Phone Number:
Electrical Company: t=s 2^n T' C�x,ss ee L ine'�r v C, Office phone: 'AI Z-`7 2S9?. Fax:
Co.Address: City: �•n.r� ILC_, State:FI -Zip: 97.7.ie(_..
Ucense Halder• Ls,..rassct lw d'+c State Certification/Registration#:
Notarized Signature ofticense Haider /
The foregoing instrument was acknowledged before me this day of . the ate of Florida,County of l
'• *="qpu,
ERGER Signature of Notary Public
R GG 333778 ],personally Known OR[ ]Produced Identification
r 1,2023 Type of ldentifiwtion:
Upx x ex