900 Seminole Rd ERES23-0149 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
JASON LEBLANC 900 SEMINOLE RD ATLANTIC BEACH FL 32233-5456
COMPANY:ADDRESS:CITY:STATE:ZIP:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171971 0000 SELVA MARINA UNIT 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
900 SEMINOLE RD ELECTRICAL RESIDENTIAL Interior remodel electrical $2100.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $15.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $16.00
ELEC HEAT 455-0000-322-1000 0 $2.00
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 38 $22.80
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $20.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
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: 6/21/2023
PERMIT NUMBER
ERES23-0149
ISSUED: 6/21/2023
EXPIRES: 12/18/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $134.80
2 of 2Issued Date: 6/21/2023
PERMIT NUMBER
ERES23-0149
ISSUED: 6/21/2023
EXPIRES: 12/18/2023
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Electrical Permit Application ALL INFORMATION
s
rs.,:,l,,, pp HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
nnR`"'
111
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Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: Ot C S .7`-3 - 0113
JOB ADDRESS: gl o 6 $ /YVUlit L 0, PROJECT VALUE$ 10 0 o
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 2_0 VOLTS ( PHASE
NEW SERVICE: Overhead Underground EUnderground up Pole
Residential (Main)Service:
0-100 amps o101-150amps o151-200amps amps of Meters
Commercial (Main)Service:
0-100 amps o101-150amps o151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service:
0-100 amps o101-150amps o151-200amps amps of Unit Meters
n TEMPORARY POLE: amps
SERVICE UPGRADE: amps CT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
100 amps 150amps 200amps amps CT Service amps
7ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: ?U 0-30amps I 31-100amps 101-200amps
Appliances: 6 0-30amps IT 31-100amps 101-200amps
A/C Circuits:0-60amps61-100amps
Heat Circuits:circuits @ 0 kw
Number of Lighting Outlets, Including Fixtures:
U OTHER ELECTRICAL PROJECTS: J
Swimming Pool Sign d moke Detectors 9 (Qty) Transformers KVA Motors HP
rt
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.
Owner Name: Phone Number:
Electrical Company:Val511r tLrl_TAcL._ LJ--L Office Phone: 41) 1- .241'7-9k j q Fax:
Co.Address: tOg fl &I/b7- -e41'.\ "J .1 i h. City:7. State: ? Zip:
License Holder: t ye. KA,I Ali State Certification/Registration#: O Gi 2Sa3
Notarized Signature of License Holder 11
The foregoing instrument was acknowledged before me this 2 I day of „St,VL- 20 in the State of Florida,County of DATCLA
Signature of Notary Public i40e
Produce. dentificationi4' •`'c., VANESSA ANGERS Personally Known OR[
r ;* MY COMMISSION#HH244118 Type of Identification: Ti j)[___ I 'Cu' . Si-em
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P:=y EXPIRES:March 23,2026 J
ERES23-0149