1723 Maritime Oak Dr ERES23-0107 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
PAPELBON JOSHUA R 1723 MARITIME OAK DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
JFS ELECTRIC, LLC 2762 SHARPES CT ORANGE PARK FL 32065
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169505 1775 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1723 MARITIME OAK DR ELECTRICAL RESIDENTIAL Electrical for pool $1250.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
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: $99.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 5/10/2023
PERMIT NUMBER
ERES23-0107
ISSUED: 5/10/2023
EXPIRES: 11/6/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 5/10/2023
PERMIT NUMBER
ERES23-0107
ISSUED: 5/10/2023
EXPIRES: 11/6/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Electrical Permit Application ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building DepartmentfGRAY IS REQUIRED.
j 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 523-061
JOB ADDRESS: 17 L S )rn c<r;1- ,l.-
r-e 04 k U),- PROJECT VALUE$ 11S-0
IEA INFORMATION REQUIRED ON ALL PERMITS: -71) AMPS 2-1t)VOLTS ( PHASE
ri NEW SERVICE: 0 Overhead Underground DUnderground up Pole
Otesidential(Main)Service:
00-100 amps D101-150amps 0151-200amps 0 amps of Meters
Commercial(Main)Service:
0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
Multi-Family(Main)Service:
0-100 amps 0101-150amps 0151-200amps 0 amps of Unit Meters
n TEMPORARY POLE: amps
0 SERVICE UPGRADE: amps CT Service amps
n 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: 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 OSign Smoke Detectors Qty) Transformers KVA Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
DReplace Burnt/Damaged Meter Can Safety Inspection DPanel Change DOH to UG
Updated 10/17/18other:
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. 11 2O 2
Owner Name: .1:wv-z Str -C r (v] Phone Number: ( n 4) ci
Electrical Company: TF 5 e 1-r! c
LL-C Office Phone: ((d`/) 50-0 ---`51.Z--3 Fax:
Co.Address: Z-`/C, - S 11c+r re•, (4— City: O Cj j1 (%r 14 State: cr L_ Zip: "cLE)L.S
License Holder: ... 51---ee State Certification/Registration#: EC( QI'ZCi2_G
Notarized Signature of License Holder) ` ..— /
tt
The foregoing instrument was acknowledged before me this 1 v day of 20--S in the State of Florida,County of WAY C(/(
Signature of Notary Public
m,. I Personally Known OR[t.roduced Identification
s.; ., Type of Identification: ?L— l, c V '.e'.S S'2Q_c J
VANESSA ANGERS
n M'COMMISSION#HH 244118
Fb«ods EXPIRES:March 23,2028
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