211 Belevedere Street ERES23-0043 •11...A`i ,,' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
S
'\ CITY OF ATLANTIC BEACH ERES23-0043
" ISSUED: 3/6/2023
�J'31,V v 800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 9/2/2023
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:
211 BELVEDERE ST ELECTRICAL RESIDENTIAL POOL ELECTRIC $10000.00
TYPE OF • REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170509 0000 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
BRENT ANNE G LIVING 29 20th STREET S JACKSONVILLE FL 32250
TRUST
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 SWIMMING POOLS 455-0000-322-1000 0 $40.00
ELECTRICAL BASE FEE 455-0000-322-10000 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 . 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$99.00
Issued Date: 3/6/2023 1 of 2
RC (--Th ? 3 - CCr 3
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
("4,...:, City of Atlantic Beach Building Department GRAY IS REQUIRED.
'' ./'j 800 Seminole Rd, Atlantic Beach, FL 32233 Aa
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1 1 e j=),V [-;D L 5-( PROJECT VALUE $ �U20U0
IEA INFORMATION REQUIRED ON ALL PERMITS: „ C(,. AMPS v21-/` VOLTS 1 PHASE
❑ NEW SERVICE: r_; Overhead ❑Underground ❑Underground up Pole
❑Residential (Main) Service:
0-100 amps E101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main) Service:
❑0-100 amps E101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
uMulti-Family(Main) Service:
❑0-100 amps E101-150amps E151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: amps CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps 150amps 1200amps Li amps CT Service 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 @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS: �/
Swimming Pool Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors I HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: Updated l0/17/18
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 ermit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Owner Name: I N"� /4 ``0.S f Phone Number:
Electrical Company: KA/I A l e l�e NC— LL Office Phone: 9-1r1 u Fax:
t, Sal,-i'k
Co.Address: i2A, r/ City: �4l( l' IN, State: ( Zip:
' AI/
h{( 3��� 3
-50
License Holder: E.:20)._____.-- State Certification/Registration#:
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this day of ,1 '2I41111►',• e State of Florida, County of O
f li--- Signature of Notary Public A_
` s' TON!GlNQLESPERGER
��e [ Personally Known OR[ ] Produced Identification
IIM EXPIRE SSION#G,2023 8 T pe of Identification: 4
`'`` r. EXPIRES:October 6,2023
,,__�••,••• Bonded 7hruNotaryPc�.�cUnderwriters