1651 COQUINA PL ERES22-0139 J ,;s1A,T'%, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES22-0139
" ISSUED:SEMINOLE ROAD 6/24/2022
"Ao;:19r ATLANTIC BEACH. FL 32233 EXPIRES: 12/21/2022
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1651 COQUINA PL ELECTRICAL RESIDENTIAL PRIVATE PROVIDER NEW $10000.00
ELECTRIC SERVICE
TYPE OF REAL ESTATEBUILDING USE
ZONING: 1 !
SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169566 0000 OCEAN GROVE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
OCEAN CURRENTS S JACKSONVILLE
511 LOWER 8th ST FL 32250
ELECTRICAL LLC BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
KOIZUMI SCOTT TAKAYUKI 1651 1653 COQUINA PL ATLANTIC BEACH FL 32233-5426
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II'
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.
I 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 300 $90 00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55 00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2 18
STATE DCA SURCHARGE 455-0000-208-0600 0 $2 00
TOTAL:$149.18
Issued Date:6/24/2022 1 of 2
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'v '`' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
�" ERES22-0139
CITY OF ATLANTIC BEACH
7 800 SEMINOLE ROAD
ISSUED: 6/24/2022
ry '=`"r ATLANTIC BEACH. FL 32233 EXPIRES: 12/21/2022
in
Issued Date:6/24/2022 2 of 2
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Electrical Permit Application **ALL INFORMATION
,4.,:1
s' �' HIGHLIGHTED IN
"' City of Atlantic Beach Building Department GRAY IS REQUIRED.
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l ,
800 Seminole Rd, Atlantic Beach, FL 32233 E RESZZ Ol 39
"'� Phone: (904) 247-5826/�' Email: Building-Dept@coab.us PERMIT#: I
JOB ADDRESS: (9C) I C OC.cu I r\1 r4 plo,c.e PROJECT VALUE$ IO , OOO
JEA INFORMATION REQUIRED ON ALL PERMITS: ?3O AMPS 2y0 VOLTS I PHASE
51 NEW SERVICE: ❑ Overhead ❑Underground ,Underground up Pole
❑Residential (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps E200amps ❑ amps ECT 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
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change LOH 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: NAPrT1r 1E0 RUll..Dt✓RS Phone Number: q0C1- 13 -- 3661
Electrical Company: OC••"14 k) CO uRFN\$ act. Office Phone: C(0 LI - '-I4 4- `Z'sa63 Fax:
Co.Address: S 1( (..Ow.ctx Son A.)a S City: I A% PcM State: P... Zip: S Zz SO
License Holder: - j 2✓' YV 1 l't State Certification/Registration#: ER\3O I S ct S'j
Notarized Signature of License Holder 03
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The foregoing instrument was acknowledged before me this day o. 4A l i •1�:��1 the State of Florida,County ofDOliQ_
Signature of Notary Public 9_ y`-
.. P� TONI GINDLESPERGER I ersonally Known OR[ ] Produced Identification
14
-, :, MY COMMISSION#GG 35317E ,, Type of Identification:
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'-u9,•��a`,' EXPIRES:October 6,2023 •
",f.:9?,f;;V Bonded Thru Notary Pubrx und_- ,s-s
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