501 Clipper Ship Lane ERES22-0264 Permit '. ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES22-0264
u 8ISSUED: 11/21/2022
00 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233AL
EXPIRES: S/20/2023
• . , • • . • • • •• 1 • • •
CODE, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF
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.
JOBADDRESS: r • OF • '
501 CLIPPER SHIP LN ELECTRICAL RESIDENTIAL ELECTRIC FOR REMODEL& $2900.00
PANELCHANGE
TYPE • BUILDINGSUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:•
1707030224 SEASPRAY
COMPANY: rr •
S & G ELECTRICAL 2140 NICKERSON LN JACKSONVLLE FL 32207
CONTRACTOR LLC
• ADDRESS: CITY: STATE: ZIP:
KOPP CHRISTOPHER K 501 CLIPPER SHIP LN ATLANTIC BEACH FL 32233-4112
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 ACCOUNT QUANTITY PAID AMOUNT
E LEC REPAIRS AND MI 5C 455-0000-322-1000 0 $35W
ELECTRICAL BASE EEE 4550000-322-1000 0 $5500
$TATE DBC P0.SURCHARGE 455-0000-20807M 0 $2.00
STATE DA SURCHARGE 455-0000-20806 0 $2.00
TOTAL:$94.00
Issued Date: 11/21/2022 1 of 2
"ALL ON
Electrical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ERE S Z Z - b Z Coo
Phone: (904) 247-5826�Email: Building-Dept@coab.us PERMIT a: ROS 22
1 -(72$
JOB ADDRESS: S C ev- 5A.,p a LA PROJECT VALUE O�
JEA INFORMATION REQUIRED ON ALL PERMITS: .a AMPS /
0 VOLTS--L PHASE
❑ NEW SERVICE: o Overhead ❑Underground oUnderground up Pole
❑Residential(Main)Service:
oO-100amps o101-150amps 0151-200amps ❑_amps If of Meters_
oCommemial(Main)Service:
oO-100amps ❑101-150amps o151-200amps ❑_amps oCTService_amps
Conductor Type Size
❑Multi-Family(Main)Service:
uO-100amps 0301-150amps 0151-200amps ❑_amps Rof Unit Meters_
❑ TEMPORARY POLE:_amps
❑ SERVICE UPGRADE: In amps nCr Service_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
ol00amps o150amps o200amps ❑_amps oCTService_amps
❑ ADDITIONS, REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches:—J-0-30amps 31-100amps _101-200amps
Appliances: 0-30amps 31-100amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: _R circuits @_kw
Number of Lighting Outlets, Including Fixtures: _
❑ OTHER ELECTRICAL PROJECTS:
n5wimming Pool n5ign uSmoke Detectors_(Qty) oTransformers KVA oMotors HP
❑ FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty volts/amps
[124EPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can o5afety Inspection anel Change 00H to UG upeatedto/i�/�e
uOther. �P In rrA +e I('2C{pf act e__ Clnc Q( 4— 1-,V G1 -�k)
Permit becomes void If work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certdy 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:
Lc
Electrical Company: TLyI.(-s'a C(Gv Office Phone:��C `�U-G 2RZ Fax:
Co.Address:7: -
Type
/ I(� 2>V City: .1 -Zip:
License Holdor E� State Certification/Registration M—
Notarized SigLicense Holder
The foregoinnt was acknowledge beforemethis day he St of Florida,County of
STI'J£R9tGEP. Signature of Notary Public
MV .Geg6fl2g37 [ ]Personally Known ORI )Produced Identification
;oEcr6,`.20232023+`4 da a •�ewaa rs Type of Identification: