467 Whiting Ln ERES23-0055 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
GUIRON SHIZUE TRUST C/O SHIZUE GUIRON POSR ATLANTIC BEACH FL 32233-3912
COMPANY:ADDRESS:CITY:STATE:ZIP:
Snyder Co dba SNYDER
HEATING & AIR PO BOX 16826 JACKSONVILLE FL 32245
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171431 0000 ROYAL PALMS UNIT
02A3.00
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
497 WHITING LN ELECTRICAL RESIDENTIAL Panel Change 200 AMPS $1500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
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: $94.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 3/15/2023
PERMIT NUMBER
ERES23-0055
ISSUED: 3/15/2023
EXPIRES: 9/11/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 3/15/2023
PERMIT NUMBER
ERES23-0055
ISSUED: 3/15/2023
EXPIRES: 9/11/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
C,
t1_,\,,,„,, Electrical Permit Application ALL INFORMATION
City of Atlantic Beach Building Department
HIGHLIGHTED IN
GRAY IS REQUIRED.
w 800 Seminole Rd, Atlantic Beach, FL 32233
culis)r
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:"
0°
JOB ADDRESS: 411 \l i Ono lane, PROJECT VALUE$ 000
JEA INFORMATION REQUIRED ON ALL PERMITS: 9w AMPS 941) VOLTS 1 PHASE
El NEW SERVICE: Zerhead Underground Underground up Pole
DResidential (Main)Service:
00-100 amps 1:1101-150amps 151-200amps 0 amps of Meters
Commercial (Main)Service:
0-100 amps E1101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
DMulti-Family(Main)Service:
0-100 amps E1101-150amps 0151-200amps amps of Unit Meters
n TEMPORARY POLE: amps
El SERVICE UPGRADE: amps OCT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps amps OCT 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 HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can Safety Inspection anel Change DOH to UG
3ther: r' )\ (1--)\-, (\ l`I, 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: vin C<n t- (U.trpn Phone Number:
Electrical Company:I , V U • Office Phone: clog-cat1 UO00 Fax:
Co.Address:'
7 1 L 1 i TF,/ ., City: AQe,A.(S DIMA(Le_ State: FL- Zip: 3311 l0
if I.
License Holder:Twl CM" 4-AdlilL IV. -State Certification/Registration#: E-C I 30 0q )pa`
Notarized Signature of License Holder
p
edged before me this
tStt'
day of (1n4 20 in e tate of Florida,County of lb tJ Flo(
JAMES E HUMPHRIES,JR.
g . c, MY COMMISSION#GG 977336 Signa ure of Notary Pub'Ctn9d 15.
EXPIRES:August 9,
Personally Known OR[ ] oduced IdentificationR',"°' Bonded'Wu Notary Public Underwriters
Type of Identification: