425 E SAILFISH DR ERES23-0082 f/Larv'''rELECTRICAL RESIDENTIAL PERMIT
PERMIT NUMBER
r) ERES23-0082
CITY OF ATLANTIC BEACH
J ~v800 SEMINOLE ROAD ISSUED: 4/10/2023
\Atilt* ATLANTIC BEACH. FL 32233 EXPIRES: 10/7/2023
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:
425 E SAILFISH DR ELECTRICAL RESIDENTIAL ELECTRICAL- 8 LIGHTS $800.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171378 0000 ROYAL PALMS UNIT 02A
COMPANY: ADDRESS: CITY: STATE: ZIP:
Vanhoy Electrical LLC 9546 Scaup Way Jacksonville FL 32218
OWNER: ADDRESS: CITY: STATE: ZIP:
JOHNSON TIMOTHY W 425 E SAILFISH DR 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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 8 $4.80
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:$63.80
Issued Date:4/10/2023 1 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
i
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
', (904) ARESZ 3-(70®
Phone: 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: q �/1-i 1 t`!cSA �; PROJECT VALUE $ C j(Tj —
JEA INFORMATION REQUIRED ON ALL PERMITS: ) D AMPS,2__ VOLTS / PHASE
NEW SERVICE: b Overhead Underground _iUnderground up Pole
LJ Residential (Main)Service:
n0-100 amps n101-150amps I i151-200amps amps # of Meters
oCommercial (Main) Service:
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
oMulti-Family(Main)Service:
❑O-100 amps o101-150amps 151-200amps .: amps #of Unit Meters
I I 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:
OTHER ELECTRICAL PROJECTS:
i:Swimming Pool Sign i 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 'anel Change DOH to UG
1iiOther: cam// 1%' �g ,& , 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: / , lin 6- ,7 L7 4,,,So-ni Phone Number: 4 /3 — // t/ — 33 L
Electrical Company: [//V-P)h17 d�1-74.,' ( LLC.Office Phone:9d Y-' -33 5 /57:1 Fax:
Co.Address: j—5-tic,
-y (Q ..jC,4 �)i City: .0 State: per/ Zip: 3�_.2.1p
License Holder: TFD5 er k D - / 1/ -'V/''o c( ) l State Certification/Registration#:e K 1,36/4 p 6-7
Notarized Signature of License Holder ( A , //
The foregoing instrument was acknowledged be ore me this \Q day of ik()I ,` , 202 in the State of Florida, County of
Signature of Notary Public
,-ia. P6, MARIE HAMLER
----=-------74' ,.. 1--:\ Notary Public-State of Florida
AWdliCommission s GG 913529 [ ] Personally Known OR[Produced Identification
' OF.! My Comm.Expires Sep 16.2023 Type of Identification: " V t -' _1