31 17th St ERES23-0071 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
OSKARSSON AN T 31 17TH ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
SOUTHEAST ELECTRICAL
COMPANY LLC 12900 BROXTON BAY DR #618 JACKSONVILLE FL 32218
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169612 0000 OCEAN GROVE UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
31 17TH ST ELECTRICAL RESIDENTIAL 22 outlets total $7500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 22 $13.20
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: $72.20
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 3/30/2023
PERMIT NUMBER
ERES23-0071
ISSUED: 3/30/2023
EXPIRES: 9/26/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 3/30/2023
PERMIT NUMBER
ERES23-0071
ISSUED: 3/30/2023
EXPIRES: 9/26/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
s>>,r• Electrical Permit Application ALL INFORMATION
s HIGHLIGHTED IN
S" City of Atlantic Beach Building Department GRAY IS REQUIRED.Jr)
800 Seminole Rd, Atlantic Beach, FL 32233j 1 S23-oc(
4:-.fm~Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: f:21-6--5422\ -(3"1-
JOB ADDRESS: St i70r S ' - PROJECT VALUE$ 7.S Cc'
JEA INFORMATION REQUIRED ON ALL PERMITS: 3 c'c) AMPS _ VOLTS / PHASE
NEW SERVICE: Overhead Underground Underground up Pole
Residential (Main)Service:
0-100 amps 101-150amps 151-200amps amps of Meters
Commercial (Main)Service:
0-100 amps 101-150amps 151-200amps amps ECT 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 CT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
100 amps 150amps 200amps 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: /U
OTHER ELECTRICAL PROJECTS:
Swimming Pool Sign Smoke Detectors Qty) Transformers KVA Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
i REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change DOH to UG
Other: 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
construon.
o Z J 3 5OwnerNctiame: 5 55 ';v
Phone Number: U 6
Electrical Company: 3001-kits-N5-Z- CAA- Office Phone: (
e 0-/)3 i y Li)Z Fax:
Co.Address: (ds.W . 73Q-0)1/4"1"" ji `0Z City: .h\°,-. State: Vt Zip: --3'(--(--\ei
1 rs t,vy "•% _License Holder: J J
7
State Certification/Registration#: -C.)--1.5°C-f76-1 0
Notarized Signature of License Holder Z. ki,yam
The foregoing instrument was acknowledged before me his '2i7 day of (14(Arc.1/1 ,2023 in the St of Florida,County of 3UVGc,t
Signature of Notary Public
1 Pv P(".
VANESSA ANGERS
Personally Known OR['roduced Identification
MY COMMISSION#HH 244118 n o L W t-p v.-93$, 32- 0 17-b -16-1-in (NV n h 4)p'' ''° Type of Identification:
EXPIRES:March 23,2026FBFf0;