1763 E PARK TER ERES23-0018 NEW SERVICE s
r/ 1—SJJ )\ ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBERCITY OF ATLANTIC BEACH ERES23-0018
800 SEMINOLE ROAD ISSUED: 2/1/2023
��`''tiuATLANTIC BEACH. FL 32233 EXPIRES: 7/31/2023
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: 1 PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1763 E PARK TER ELECTRICAL RESIDENTIAL NEW 400 AMP SERVICE $32000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0412 SELVA MARINA UNIT 08
COMPANY: ADDRESS: CITY: STATE: ZIP:
Ricketts Electric LLC 3789 River Road Hillard FL 32046
OWNER: ADDRESS: CITY: STATE: ZIP:
WILLIAMS DANIEL 1763 PARK TERRACE EAST ATLANTIC BEACH FL 32233
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 QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 400 $110.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.48
1 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $169.48
Issued Date: 2/1/2023 1 of 2
.,' ,.i/ Electrical Permit Application **ALL INFORMATION
�� HIGHLIGHTED IN
i�r `i City of Atlantic Beach Building Department GRAY IS REQUIRED.
, ; 800 Seminole Rd, Atlantic Beach, FL 32233 ��-- 2 �-�
-4-1"/
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:CR[[--WZJ-00 IE
JOB ADDRESS: 1763 Park Terrace East PROJECT VALUE $$32,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 400 AMPS 240 VOLTS 1 PHASE
NEW SERVICE: 0 Overhead OUnderground DUnderground up Pole
Residential(Main)Service:
00-100 amps 0101-150amps 0151-200amps doo amps #of Meters 1
❑Commercial(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
eD-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
El TEMPORARY POLE: amps
CI SERVICE UPGRADE:0 amps OCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps EJ T Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200am ps
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:
❑Swimming Pool DSign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
❑FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
ther:
Updated 10/17/18
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.
Owner Name: Zachary Ricketts Phone Number: (904)361-8513
Electrical Company: Ricketts Electric LLC Office Phone: 1904)320.5960 Fax:
Co.Address: 540435 US Highway 1 City: Callahan State: Fl Zip: 32011
License Holder: Zachary Ricketts State Certification/Registration#: EC-13010862
Notarized Signature of License Holder ----m.
The foregoing instrument was acknowledge'c3 b• ore me this 3v day of vIt&c&.C,20 23 in the State of Florida,County of DL.IVC�,j
Signature of Notary Public __Z.---
dor'~u Notary State of Florida t7i�ersonally Known OR[ ] Produced Identification
Jenna N Cappareilo Type of Identification:
1; My CommIssion NH 125738
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Expires o5lOM2o25