211 SEMINOLE RD ERES23-0197 iyLin
ELECTRICAL RESIDENTIAL PERMITIlL
PERMIT NUMBER
i� ERES23-0197
CITY OF ATLANTIC BEACH800 SEMINOLE ROAD ISSUED: 8/23/2023
-----t_.•0111:0- EXPIRES: 2/19/2024
ATLANTIC BEACH. FL 32233
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:
211 SEMINOLE RD ELECTRICAL RESIDENTIAL ELECTRIC FOR ON DEMAND $500.00
WATER HEATER
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170528 0000 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
FIRST CHOICE ELECTRIC 716 N VALLEY FORGE RD NEPTUNE BEACH FL 32266
INC
OWNER: ADDRESS: CITY: STATE: ZIP:
FAIRBAIRN CRAIG S 29 20th STREET S JACKSONVILLE FL 32250
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 1 $0.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
I
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$59.60
Issued Date:8/23/2023 1 of 2
S.i,f Electrical Permit Application **ALL INFORMATION
s r HIGHLIGHTED IN
r
\°' City of Atlantic Beach Building Department GRAY IS REQUIRED.
sl
' 800 Seminole Rd, Atlantic Beach, FL 32233
``"''``'~ Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ER�3Z3- CA
JOB ADDRESS: Z t l 5cr,,"•- O\-e-- 'Za:i PROJECT VALUE$ So . oc-
JEA INFORMATION REQUIRED ON ALL PERMITS: ZcSOAMPS Zyb VOLTS I PHASE
❑ NEW SERVICE: E Overhead ❑Underground ❑Underground 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 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: 0-30amps 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 ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can, ❑Safety Inspection ❑Panel Change DOH to U
't Updated 10/17/18
❑Other: � - S o. � w ►2i�� �or oa Updated wo_�`�c.✓' �Po.. �✓
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: 4= '-sPhone Number: Z-3T - a T9Q
Electrical Company: r t tc.T c.. jst c-e. a 1 e kc- c Office Phone: Fax: `
Co.Address: TI t t, t/e1\r 1 cc,,r.6, R._cN >� City: iv z.air w,►e 16-- ate: r Zip:'SZZ4.1,-,
License Holder: 1.._0.wrr.1—s c-< 1 \-..ow-0ps State Certification/Registration#: EC- OOCS Zct't 5'
Notarized Signature of License Holder `.lc)�, „a.AA
The foregoing instrument was acknowledged before me this Z..., of20.f��' he State of Florida,County of DUV-
• Signature of Notary Public �_ 411b.LJk
Yp�
••k,,, TONI GINDLESPERGER rsonally.Known OR[ ] Produced Identification
.; .. Nll'C0`AMISSION#GG 353178
+F , ' p� EXPIRES:October 6,2023 Type of Identification:
-:u Note- P gbh U.rdenriters