1737 OCEAN GROVE DR ERES22-0179 =s
'jy''\'%r ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r) CITY CITY OF ATLANTIC BEACH ERES22-0179
~ 800 SEMINOLE ROAD ISSUED: 8/12/2022
x`.21 v ATLANTIC BEACH. FL 32233 EXPIRES: 2/8/2023
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:
1737 OCEAN GROVE DR ELECTRICAL RESIDENTIAL ELECTRIC - PANEL CHANGE $1400.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169608 0000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
Andreu & Current Electric, 11133 English Moss Lane Jacksonville FL 32257
Inc.
OWNER: ADDRESS: CITY: STATE: ZIP:
GARDNER JACKSON E 1737 OCEAN GROVE DR ATLANTIC BEACH FL 32233-5844
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION 7EACCOUNT QUANTITY PAID AMOUNT
LEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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
TOTAL:$94.00
Issued Date:8/12/2022 1 of 2
Electrical Permit Application -*ALL INFORMATION
t--Lxr :' HIGHLIGHTED IN
iliCity of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
-0,q,,,,,, Phone: (904) 247-5826 Email: Building-Deot@coab.us puma LEIRESZ'Z-fOI 76
JOB ADDRESS: 1737 Ocean Grove Drive PROJECT VALUE $$ 1,400.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 150 AMPS 240 VOLTS 1 PHASE
LiNEW SERVICE: Li:AL 1e.':r LJif sae grO '3 Ltr laec iq:punt)ap r u;'
C'Xtesidential (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor for Tye • -
DMulti-Family(Main)Service:
DJ-100 amps 0101-150amps [3151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
❑SERVICE UPGRADE:0 amps i .i Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps 01SOamps 0200amps 0 amps Err Service amps
❑ ADDITIONS, REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30am ps 31-100amps 101-200a mps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
111 OTHER ELECTRICAL PROJECTS:
DSwimming Pool DSign ❑Smoke Detectors (Qty) ['Transformers KVA ['Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
❑✓ REPAIRS/MISCELLANEOUS:
['Replace Burnt/Damaged Meter Can ❑Safety Inspection Eanel Change ❑0H to UG
• ther:
Updated 10/17/18
Parmit harnmac vnirl if ,,nrL rinac not rnmmanra uiithin,civ month narind nr work is ci,crone-lad nr?hanrinnari for ciy rnnnthc i harahv rnrtih,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: Jackson Gardner Phone Number: (904)699-4238
Electrical Company: Andreu & Current Electric Office Phone: (904)813-2605 Fax:
Co.Address: 4674 Great Western Way S. City: Jacksonville State: Ft Zip: 32257
License Holder: Emory Andreu State Certification/Registration#: EC13007524
'i
Notarized Signature of License Holder c...-Cr
The fo9re2oingtrurpe,U :ed bore me this t day o'
44_ in th State of Florida, County of L. u,i.rTh---(
'. Bey~•. TONI GINDLESPERGEN C
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MY COMMISSION#GG 353178 Signature of Notary Public - Q
I
T���. o: EXPIRES:October 6,2023 [ 1 Personally Known OR [ I Produced Identification'•.TOFF°? Bonded Thru Notary Public Underwriters
Type of Identification: . l