559 SELVA LAKES CIR ERES23-0073 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
GALEANI JOHN J 555 SELVA LAKES CIR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
ALPHA ELECTRIC OF PONTE
VEDRA 299 RANCH RD PONTE VEDRA FL 32081
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172027 5522 SELVA LAKES UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
559 SELVA LAKES CIR ELECTRICAL RESIDENTIAL 66 outlets total $3000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 66 $39.60
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: $98.60
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 4/5/2023
PERMIT NUMBER
ERES23-0073
ISSUED: 4/5/2023
EXPIRES: 10/2/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 4/5/2023
PERMIT NUMBER
ERES23-0073
ISSUED: 4/5/2023
EXPIRES: 10/2/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Electrical Permit Application ALL INFORMATION
eri,',r/,,HIGHLIGHTED INS
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL
32233iiY- S"Z 7
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOBADDRESS: 5-- -)E 'A L~ 7 K- ( IC- PROJECT VALUE$ D 00 b6041
JEA INFORMATION REQUIRED ON ALL PERMITS: 26L AMPS 1.210 VOLTS l PHASE
NEW SERVICE: Overhead Underground Underground up Pole
EResidential(Main)Service:
0-100 amps 101-150amps 151-200amps amps of Meters
Commercial(Main)Service:
O-100 amps 101-150amps 151-200amps amps DCT Service amps
Conductor Type Size
Multi-Family(Main)Service:
0-100 amps 101-150amps 0151-200amps amps of Unit Meters
n TEMPORARY POLE: amps
SERVICE UPGRADE: amps ACT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
100 amps 150amps 200amps amps ECT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: '3C 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: 3C4)
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 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 ive authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Owner Name: rt'1 L 00AA -)62-()/))(- Phone Number: 9 Oct c6.)(7- ')9 5
Electrical Company: Al 1).--1A- ElLc-tv-t c 0 R7Y Office Phone: ck,9 X73 6 N3)Fax:
Co.Address: ,2'7G- ^le.-„,r,L- [2_04_City: P V State: T( Zip: 320 S I
License Holder: 1 1 kc(101..16-'-.rJk- St Certification/Registration#: EL/36D ,26 e-i-P--.
Notarized Signature of License Holder C, 1""1`l KC b'
The fore:oin: ' s r I -a , . , ,r• , -dged before me this 30 day of Vr& ,2023 in the State of Florida,County of 'INCL.(
nrP
g••
P ` :,, VANESSA ANGERS Signature of Notary Public
MY COMMISSION#HH 244118
EXPIRES:March 23,2026 Personally Known OR[U/1 roduced IdentificationForr•.°P;Type of Identification:ft, ib(/ la/l c., ]20049)1 CZu&(._