1757 Ocean Grove ERES22-0225 Permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERE522-0225
800 SEMINOLE ROAD ISSUED: 10/3/2022
ATLANTIC BEACH. FL 32233 EXPIRES: 4/1/2023
•KKI1I1bI Lill;r&AIVI 1191 • •• 1 • • • a
CODE, NEC, IPIVIC, 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 maybe 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 In
districts,state agencies,or federal agencies.
O. err . r • OF O'
1757 OCEAN GROVE DR ELECTRICAL RESIDENTIAL ELECTRIC- PANEL CHANGE $1500.00
TYPE • BUILDINGUSESUBDIVISION:
CONSTRUCTION: NUMBER: GROU I P;r
169606 0000 OCEAN GROVE UNIT 02
COMPANY: rr •
VALDAN ELECTRIC CO. 33819TH ST ATLANTIC BEACH FL 32233
• ADDRESS: CITY: STATE: ZIP:
WATERS ANGELA M 1834 OCEAN GROVE DR ATLANTIC BEACH FL 32233-5843
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 QUANTRY PAIDAMOUNT
ELEC REPAIRS AND MISC 455-NOOK)d22-1W0 0 $3500
ELECTRICAL RASE FEE 455-0000-322 TWO 0 $5500
STATE DBPR SURCHARGE 4550000-2080700 0 $200
STATE DCA SURCHARGE 455-ONO-208-06W 0 $2.00
TOTAL:$94.00
Issued Date:10/3/2022 1 of 2
'*ALL ON
Electrical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ARES ZZ-OZzS
Phone: (904) 247-5826 Email: Building-Dept@ccatims PERMIT#:
JOB ADDRESS: �� / O "PL2 0 fIQ V fe PROJECT VALUE$
1, ryJ z:-%10 /
JEA INFORMATION REQUIRED ON ALL PERMITS:_AMPS_VOLTS_PHASE
❑ NEW SERVICE: %Overheod oUnderground ❑Underground up Vole
❑Residential(Main)Service:
00-100amps 0101-150amps 0/151-200amps of amps III of Meters_
oCommercial(Main)Service:
00-100amps 0101-150amps 0151-200amps ❑_amps oCT Service_amps
Conductor Type Size
❑Multi-Family(Main)Service:
00-300amps 0101-150amps ❑151-200amps ❑_amps #of Unit Meters_
❑TEMPORARY POLE:_amps
❑ SERVICE UPGRADE: ❑_amps oCT Service_amps /
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
n1OOamps 0150amps n200amps ❑_amps oCTService_amps
❑ ADDITIONS, REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps _101-200amps
Appliances: _0-30amps _31-100amps _101-200amps
A/C Circuits: _0-60amps _61-100amps
Heat Circuits: _#circuits Er7_kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
oSwimming Pool uSign uSmoke Detectors (Oty) oTransformers KVA oMotors_HP
❑ FIRE ALARM SYSTEM(Requires 3 sets of plans):
Ory volts/amps
ffREPAIRS/MISCELLANEOUS: �
❑Replace Burnt/Damaged Meter Can o5afety Inspection iaPanel Change oOH to UG Updoted10117/18
❑Other.
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. y r;;'f zq�o
Owner Name:�gf f Iv✓Af f S 419Phone Number:
Electrical Company: ..V44de� FL LC "AYC' Office Phone: W4 — 3626 Fax:
Co.Address: D% 1422 rSt t viE rr, City: �h state: Lc Zip:
Ucense Holder: N WI /I[— tate Certification/Registration#:
Notarized Signature oJtice um Halder
The foregoing instrument was acknowledged before me thiday 'n a tate of lorida,CountyofJ
.�„:,':;. TONI GINDLESPERGER Signature of Notary Put
bl
My COMMISSIONNGG 353178
.E, EXPIRES:October 6.2023 personally Known OR ]Produced Identification
s'' oonaeatho,xaan PcuicunaerwlreR Type of Identification:
p OOZ S ,lj