299 S NAUTICAL BLVD ERES23-0028 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES23-0028
800 SEMINOLE ROAD ISSUED: 2/16/2023
� ATLANTIC BEACH. FL 32233 EXPIRES: 8/15/2023
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
ELECTRICAL FOR KITCHEN
299 S NAUTICAL BLVD ELECTRICAL RESIDENTIAL REMODEL $2000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170703 0368 SEASPRAY
COMPANY: ADDRESS: CITY: STATE: ZIP:
Jimmy's Electric LLC 526 11th Avenue North Jacksonville Beach FL 32250
OWNER: ADDRESS: CITY: STATE: ZIP:
DARR KIMBERLY A 299 NAUTICAL BLVD S 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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$98.00
Issued Date:2/16/2023 1 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
> City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 E E- E S Z 3 -( O ZE
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ?GS 22 o 2_ E
JOB ADDRESS: 2 /c'i $ /l/w- r c ) c< </ °'l PROJECT VALUE $ ? O0
JEA INFORMATION REQUIRED ON ALL PERMITS: I 5c AMPS Z11OVOLTS / PHASE
NEW SERVICE: li Overhead ,Underground Underground up Pole
r Residential (Main)Service:
0-100 amps n101-150amps 151-200amps amps #of Meters
Commercial (Main) Service:
0-100 amps 101-150amps 151-200amps i amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service:
0-100 amps 101-150amps 151-200amps amps # of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: amps QCT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps 150amps r-200amps amps CT Service amps
, ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 2/ 0-30amps L 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: /7
OTHER ELECTRICAL PROJECTS:
Swimming Pool Sign Smoke Detectors (Qty) _.Transformers KVA Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can ESafety Inspection /Panel Change LOH to UG
nOther: 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: )e fr �) / . �vc L✓S '70`4"
Phone Number:
r
Electrical Company: c % 4ys E)eo-f'i c� Office Phone: /"�fg5-
7 " /'raj ' � .77 Fax:
Co.Address: 5-06, lfi-j ,4,e. /V &L 4-` City: � -�`- v)c,t State: F ( Zip:
License Holder: c Ct t-e' T LA'S State Certification/Registration#: J 3 C C 7)rD
Notarized Signature of License Holder N �
The foregoing instrument was acknowledged before me this\,(D day of -f� , 2 'n the State of lorida, County of VO
• NOELLE CHELET7E Signature of Notary Publi(J f.�./. -
' Notary Public v
fi/,, ter' State of Florida [ ] Personally Known ORt tP�oduced Identification
" Comm#HH212309 Type of Identification: v L'
1' Expires 1/2/2026