1470 Ocean Blvd ERES23-0097 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
SAAS REBECCA LYNN 11114 CRIPPLEGATE RD PETOMAC MD 20854
COMPANY:ADDRESS:CITY:STATE:ZIP:
LORE ELECTRICAL
CONTRACTORS 210 N ROSCOE BLVD PONTE VEDRA
BEACH FL 32082
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171855 0000 MANDALAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1470 OCEAN BLVD ELECTRICAL RESIDENTIAL
New underground 400
amps, 1 meter and interior
electric
$60000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $10.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $12.00
ELEC HEAT 455-0000-322-1000 0 $4.00
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 50 $30.00
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: 4/27/2023
PERMIT NUMBER
ERES23-0097
ISSUED: 4/27/2023
EXPIRES: 10/24/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELEC NEW SINGLE FAMILY 455-0000-322-1000 1 $50.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $60.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.32
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.21
TOTAL: $226.53
2 of 2Issued Date: 4/27/2023
PERMIT NUMBER
ERES23-0097
ISSUED: 4/27/2023
EXPIRES: 10/24/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC.BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904)247-5845
JOB ADDRESS: V4 '7 o Oc el t. Fi tib, A 4-t• 13c4,... 3 z A 3 3 PERMIT# -et
is 1 ..j i .- .r.m t.f1L',aflj P Flj lµl' "P )hICa7 ,.i n7 .» i.az_. t'. 77 till it 0 cb,:c2,.! r.60 [j•! li ? 5 Ii 1 1'e 1 ff I;I r it 0
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ALUE OF WORK$ (O OJ c 0 NEW
SERVICE 0 Overhead tI/JUndergroundErUndergrounclupPoleOResidential (
Main)Service 00-
100 arnps l I01-150amps 0151-200amps 0/1/07) amps of Meters OCommercistl(
Main)Service 00-
100 amps q 101-150amps 1151-200amps 0 amps OCT Service amps Conductor
Type Size:Multi-
Family(Main)Service X-
100 amps 101-150amps II 151-200amps 0 amps of Unit Meters Temporary.
Pole El, _ _amps SERVICE
UPGRADE D amps 0 CT Service amps NEW
FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)0100
amps 0150amps 0200amps 0 amps OCT Service amps.ADDITIONS,
REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.Outlets/
Switches I7 0-30amps 31-100nmps 101-200amps Appliances:
G 0-30amps 31.100amps 101-200amps A/
C Circuits: 2— 0-60amps 61-i amps Heat
Circuits: 2— # circuits @ kw Number
of Lighting Outlets, Including Fixtures: a OTHER
ELECTRICAL PROJECTS 0
Swimming Pool 0 Sign 0 Smoke Detectors Qty Transformers KVA Motors hp FIRE
ALARM SYSTEM (Requires 3 sets of plans)Qty.
volts/amps VALUE OF WORK REPAIRS/
MISCELLANEOUS Replace
Burnt/Damaged Meter Can [Safety Inspection Panel Change 00H to UG 0
Other:Permit
becomes void if workdoes not commence within a six month period or work is suspended or abandoned for six months. I herebyeertify.thall have readthisapplicationandknowthesametobetrueandcorrect. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permitdoes not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property
Owners Name SQ-Q.$ Phone Number Electrical
Company,--. c
t'
eC`t^l C' C aJl4,`I''a.0 S Office Phone r-73—111, 3 Fax Co.
Address: 02 a'S C.f t I l• _ . City hrltAe Vag.Beta a LState R. Zip 3a o g-.2 License
Holder(Print): ' e Loi-elL..- 1-0-1-„e___ State Certification/Registration#EC 13 O b to to q a,Not
lder rt1 1 ,
iv• NANCY B PETRIE f eV.``
1 Notary Public•State of Floridat/.SYday of ir_/ 20 A. 3 CommissionWNH278656beforemethis1
fa o My Comm.Expires Oct ta.2026 1Si nature of NotaryPu I ''Bonded through National Notary Assn. I g bltc— net4t