1765 Selva Marina Dr ERES19-0328 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
CLINE CHRISTOPHER T 1765 SELVA MARINA DR ATLANTIC BEACH FL 32233-5638
COMPANY:ADDRESS:CITY:STATE:ZIP:
DAVID PRUETTES
ELECTRICAL SVC.331 -8 PARKRIDGE AVE ORANGE PARK FL 32065
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172018 0000 SELVA MARINA UNIT 05
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1765 SELVA MARINA DR ELECTRICAL RESIDENTIAL ELECTRIC FOR POOL -
Renewed $600.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $9.90
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
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: 12/9/2019
PERMIT NUMBER
ERES19-0328
ISSUED: 12/9/2019
EXPIRES: 2/18/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $108.90
2 of 2Issued Date: 12/9/2019
PERMIT NUMBER
ERES19-0328
ISSUED: 12/9/2019
EXPIRES: 2/18/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
OFFICECOPY **
ALL INFORMATION
s`-',r;;Electrical Permit Application
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
P 800 Seminole Rd, Atlantic Beach, FL 32233 ER ES t c, -- 03 Z ,F
J Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: t l 5 „cow N1-(,(.Y l t"(,1 D( PROJECT VALUE$ (
Oc—
IEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE
NEW SERVICE: 0 Overhead Underground Underground up Pole
Residential (Main)Service:
00-100 amps D101-150amps 0151-200amps El amps of Meters
DCommercial (Main)Service:
0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
Multi-Family(Main)Service:
0-100 amps D101-150amps 0151-200amps 0 amps of Unit Meters
C TEMPORARY POLE: amps
SERVICE UPGRADE: amps OCT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 150amps 0200amps 0 amps DCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30am ps 31-100amps 101-200a m ps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits:0-60amps 61-100amps
Heat Circuits:circuits @ kw
Number of Lighting Outlets, Including Fixtures:
ri OT ' ELECTRICAL PROJECTS:
M wimming Pool['Sign Smoke Detectors Qty) Transformers KVA Motors HP
E FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
El REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can Safety Inspection [Panel Change DOH to UG
Either: 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: C(\%1S`b C€X LAl` CPhone Number:
Electrical Company pdrt4aft E 'tT11ca SJCSOffice Phone' O4 0.7a=7,aa-S Fax:<
34\---7a aa
Co.Address: 33(-8 Parkri 0(1e. Ave0•yDrags( f4.rk State:Zip: .32044--
1LicenseHolder: 6/ V t' N. —or ' ate ification/Registration tt: EC000212 3
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this Xe—clay of11/VvY-Iel ,20 I in the Stat of Florida,County ofC1kA,
KAREN C. FRANCO 1.+/wCN
t4'0.VI'`
fie;?. Signature of Notary Public i^
i MY COMMISSION#GG095655
i,,„el_ EXPIRES April 18,2021 tt.4sonally Known OR[ ] Produced Identification
Type of Identification: