1811 Selva Marina Dr ERES22-0209 ,J 'j" ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES22-0209
n 800 SEMINOLE ROAD ISSUED:9/14/2022
a o ATLANTIC BEACH, FL 32233 EXPIRES:3/13/2023
INSPECTION—MUST CALL • (9 04)
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1
CODE, 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.
• . . • s . . • OF • '
1811 SELVA MARINA DR ELECTRICAL RESIDENTIAL ELECTRIC REPAIRS - $3200.00
TYPE • DING USE SUBDIVISION:
CONSTRUCTION: NUMBER: G I ROUP:•
172020 0764 SELVA MARINA UNIT 1OB
COMPANY! ADDRESS:
ROBBINS ELECTRICAL 7748 NORMANDY BLVD STE 145-323 JACKSONVILLE FL 32221
SERVICES
• ADDRESS:
PHILIP BLUMENTHAL 1811 SELVA MARINA DR ATLANTIC BEACH FL .. 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IP
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 FI%ED OR STATIONERY 455-0000-322-1000 0 $4.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES
455-0000322-1000 53 $31.80
ELECTRICAL BASE FEE 4550000-322-1000 0 $5500
STATE DIFFER SURCHARGE 455-0000208-0700 0 $2'00
STATE DCASURCHARGE 455-0000-2080600 0 $2.00
TOTAL:$94.60
Issued Date:9/14/2022 1 of 2
FALL INFORMATION
Electrical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-582f Email: Build ing-Dept@coa b.us PERMIT#:
JOBADDRESS:ULk S 110- El ,-t ��tV C PROJECT VALUE$ Zi Ba—
JEA INFORMATION REQUIRED ON ALL PERMITS: sr 11 DAMPS M VOLTS PHASE
❑ NEW SERVICE: o Overheod oUnderground ❑Underground up Pole
oResidential(Main)Service:
r0-100amps o101-150amps ❑151-200amps 0— amps III,of Meters_
oCommercial(Main)Service:
oO-100amps ❑101-150amps 0151-200amps 0— amps oCT Service_amps
Conductor Type Size
oMulti-Family(Main)Service:
00-100amps o301-150amps 0151-200amps D— amps #of Unit Meters_
❑ TEMPORARY POLE:_amps
❑ SERVICE UPGRADE: ❑_amps oCT Service_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
o100amps o150amps o200amps ❑_amps oCTService_amps
ADDITIONS, REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Sw#ches:yL.O-30amps _31-100amps _101-200amps
Appliances: 0-30amps 1-300amps _101-200amps
A/C Circuits: _0-60amps _61-100amps
Heat Circuits: #circuits Co7_kw cg
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
o5wimming Pool o5ign ❑Smoke Detectors (QtY) ❑Transformers KVA oMotors HP
❑ FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
rSPu'E"
❑Replace Burnt/Damaged MetesS Can ❑Safety Inspect on ❑Panel Change oOH to UG doted1011111A
)<Other -540 r }s �,aaas.�. Hrc �k brn-a.�R rz �I—
Permitbecomesvoidifworkdoesnotcommencewithinasixmonthperi d or work is suspended or abandoned for six months. I hereby certify that l have
read this application and know the same to be true and comed. 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' Phone Number. 9 trOb—XA-- 605
Owner Name:
Electrical Company: t Office Phone: / Fax:
Co.Address: City: L 5� s, 1 (.State:S—�t .zip:
23_
License Holder-
f \ State Certification/Registration#:
Notarized Signature afticense Nobler
The foregoing instrument was acknowledged be re ethis ayo the tate of Florida,County of
" .
TONT GINOLESPERGEft Sig a eof Notary Public
�?' MY COMMISSION#GG 353178
iy, EXPIRES:Ocmber 6,2023 ( I Personally Known ORI 1 Produced Identification
.,.,y, .f,q?:a���N�rypuolicunaerxdrars Type of Identification: 1�— (