1508 Linside Drive ERES23-0116 S J� ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
4r �n
___ CITY OF ATLANTIC BEACH ERES23-0116
800 SEMINOLE ROAD ISSUED: 5/16/2023
X01119% ATLANTIC BEACH. FL 32233 EXPIRES: 11/12/2023
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:
1508 LINKSIDE DR ELECTRICAL RESIDENTIAL ELECTRIC FOR REMODEL $2200.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172374 6370 SELVA LINKSIDE UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
KLG ELECTRIC INC 11467 SORFORENKO DR JACKSONVILLE FL 32218
OWNER: ADDRESS: CITY: STATE: ZIP:
SATTERWHITE JIMMIE M 1508 LINKSIDE DR ATLANTIC BEACH FL 32233
JR
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 5 $3.00
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: $62.00
Issued Date: 5/16/2023 1 of 2
"S1_,''\'f,,' ELECTRICAL RESIDENTIAL PERMITik...... PERMIT NUMBER
�`°) ERES23-0116
CITY OF ATLANTIC BEACH
}: -,- 800 SEMINOLE ROAD
ISSUED: 5/16/2023
'l-v;; EXPIRES: 11/12/2023
ATLANTIC BEACH. FL 32233
Issued Date:5/16/2023 2 of 2
Electrical Permit Application **ALL INFORMATION
/rOr lire'' HIGHLIGHTED IN
- City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233it1 ;fir 2
'-t—wj
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: �CRESZ3 0II�
JOB ADDRESS: 15 O4g I..,'tC\KSl,c\e_ tj \$— PROJECT VALUE$ VC--0.CO
JEA INFORMATION REQUIRED ON ALL PERMITS: iSO AMPS ).Lit, VOLTS I PHASE
❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps E101-150amps o151-200amps ❑ amps ECT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑0-100 amps E101-150amps o151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps ECT 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: 0-30am ps 31-100amps 101-200a m ps
Appliances: S 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 ❑Sign ESmoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n 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
construction. 1, 1 r�
Owner Name: It.�V t 4\ L. (- c \ it Phone Number: CAO 4." '1 O 4- 1k 3 g,
Electrical Company: ki...C-, .\ec C•) MA c.... Office Phone: RC r t k. '13a rF-ax: ^ t
Co.Address: 111-I�'-( So b eCs4Lc Nave, City: �0,Sotr`u t�. State: t-I Zip: 3ax.ta
License Holder: liV \(\ L. ( \✓n State Certification/Registration#: C1300 51 S
Notarized Signature of License Holder 14X;Al‘ S-nh4.
The foregoing instrument was acknowledged before me this' (P day of I ,20 r� ••e State of FI ida,County of.L.11.
=o< • TONI GiNDLESPERGER Signature of Notary Public • ,C.-•
:*: La. ':,_ MY COMMISSION#GO 353178
^'• ���� EXPIRES:October 6,2023 [ i Personally Known OR[ I Produced Identification
=may•���` O:
r°FF;°,` Bonded ThruNotary Pubic Underwriters Type of Identification: i