1740 E Park Terrace ERES22-0266 Permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES22-0266
800 SEMINOLE ROAD ISSUED: 11/21/2022
+•' ATLANTIC BEACH, FL 32233 EXPIRES: 5/20/2023
INSPECTIONMUST CALL • r FOR DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPIVIC, AND CITY OF ATLANTIC BEACH CODE 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.
• • ADDRESS: PERMIT TYPE: DESCRIPTION:
1740 E PARK TER ELECTRICAL RESIDENTIAL ELECTRIC FOR MOTHER-IN- $12000.00
LAW SUITE
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION:- NUMBER: GROUP:
172020 0392 SELVA MARINA UNIT 08
COMPANY: ADDRESS:
SOUTHEAST ELECTRICAL 12900 BROXTON BAY DR #618 JACKSONVILLE FL 32218
COMPANY LLC
• ADDRESS:
CACERES RICHARD V 1740 PARKTER E 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 • r
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
ELEC REPAIRS AND MISC 455-0000-3221000 0 $3500
ELECTRICAL BASE FEE 455-0000-3221000 0 $55.00
STATE DBPR SURCHARGE 455-0000-2080700 0 $2.00
STATE DCA SURCHARGE 455-0000-2089600 0 $2.00
TOTAL:$94.00
Issued Date:11/21/2022 1 of 2
ALL
" ON Electrical Permit APPlication HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd,47 Atlantic Beach, FL 32233 ER E 5��
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT ri:
JOB ADDRESS: 1'7-'IC) ?AU 71�eeACE E- PROJECT VALUE$
JEA INFORMATION REQUIRED ON ALL PERMITS: Xr)O AMPS '25r0 VOLTS / PHASE
❑NEW SERVICE: 0Overhead 13Underground 13Underground up Pole
Mesidential(Main)Service:
D0-100 amps 13101-150amps 13151-200amps 13 mps riof Meters
Minmercial(Main)Service:
130-100 amps 13101-150amps 0151-200amps E3 _amps M Service_amps
Conductor Type Size
CIMulti-Family(Main)Service:
M100amps 0101-150amps 0151-200amps amps riof Unit Meters
❑TEMPORARY POLE:_amps
❑SERVICE UPGRADE:❑ amps OCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
)100 amps 0150amps 0200amps 0-amps OCT Service_amps
❑ ADDITIONS,REMODELS, REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches: 4.1/ 0-30amps 31-100amps _101-200amps
Appliances: 0-30amps 31-100amps _101-200amps
A/C Circuits: __L_0-60amps 61-300amps
Heat Circuits: ri circuits @ kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
[]Swimming Pool[]Sign []Smoke Detectors (Qty) ❑transformers KVA []Motors His
❑FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qry volts/amps
❑ REPAIRS/MISCELLANEOUS:
[]Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change []OH to UG
y,ther: Updoted IO117118
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. 7.W4046 0701-
Owner Name:
�klfHtS`e-ID CP e.�2E'S V Phone Number:
Electrical Company: '.Jo%cWEoAK ELEectsegt. fA Office Phone: 90431914A7.; Fax:
Co.Address: 1A500 'g Za%R0Io'ttA4 OC -Jri 611( city: SAcxpoic,y . s- State: FL Zip: 3tZ-tre
License Holder: 3� W`I-+ (((��� 1 State Certification/Registration d: BU 3009 SIA
Notarized Signature ofticense Holder Q")'. �t J
The foregoing instrument was acknowledged before me this A1,7day of A16V Aa it , 'OE2L�
74 in the State of Florida,County of 0
Signature of Notary Public "4s
WUM LpOpE {�Personally Known OR I I Produced Identification
LIYCAMMISSIDN lI CA 3186/5 Type of Identification:
"i EXPIRES: 19,2023
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