375 SEMINOLE RD ERES23-0194 S' vi% ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
2' ERES23-0194
,� �_: CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 8/21/2023
\ ';'� ATLANTIC BEACH. FL 32233 EXPIRES: 2/17/2024
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:
375 SEMINOLE RD ELECTRICAL RESIDENTIAL ELECTRIC MAIN BREAKER $400.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170435 0000 SALTAIR SEC 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
BARKOSKIE ELECTRICAL JACKSONVILLE
953 Shetter Ave FL 32250
SERVICE BEACH
OWNER: ADDRESS: CITY: STATE: I ZIP:
FRY LINDA M ET AL 375 SEMINOLE RD 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 REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: $94.00
Issued Date:8/21/2023 1 of 2
fs'''s
f-v ; Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
r "'� Clty Of Atlantic Beach Building Department GRAY IS REQUIRED.
ii 800 Seminole Rd, Atlantic Beach, FL 32233 -RES z3-019 4
`.`bP`"r Phorne: (904) 247-5826 Email: 3uilding-Dept@coab.us PERMIT#:
JOB ADDRESS: 57.5—
/ 504/.41a1-C /e9 PROJECT VALUE $ 4(cc)
JEA INFORMATION REQUIRED ON ALL PERMITS: ZOO AMPS Z40VOLTS / PHASE
El NEW SERVICE: 0 Overhead ❑Underground DUnderground up Pole
CIResidential (Main)Service:
00-100 amps [3101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service:
❑0-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑3-100 amps 1:1101-150amps 0151-200amps 0 amps #of Unit Meters
❑TEMPORARY POLE: amps
❑SERVICE UPGRADE: ❑ amps OCT Service amps
n NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps Dc-r-Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200a mps
Appliances: 0-30amps 31-10oamps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
Ell OTHER ELECTRICAL PROJECTS:
❑Swimming Pool['Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ['Motors HP
U FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
v EPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change DOH to UG
EKther: Z0f1.-4 C.. WO M A—it.) TZ)ft.-- --A.--i LblyZ 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
constrution.
Owner Name: L- 1 t,' I>4- (72 E7 Phone Number: 7840. a 3 9 - 7itG s
Electrical Company: Barkoskie Electric Service Office Phone: (904)246-473' Fax:(904)249-8017
Co.Address: 953 Shetter Avenue City: Jacksonville Beach State: FL Zip: 32250
License Holder: James Hughes State Certification/Registration#: EC13002387
Notarized Signature of License Holder
The foregoing instrument was acknowledg d before me this 2( day of ate— ,20X3 in the State of Florida, County ofD
; :*�P ,' MARGARET A.MAY Signature of Notary Publici ` i. Yr
A: :., MY COMMISSION tl GG 979259
EXPIRES:July 24,2024 [ j Personally Known OR[ ] Produced I tification
"`O °p" Bonded Tha+NotaP/Pubk Undenaers Type of Identification: