812 Ocean Blvd ERES22-0086 COAB Permit Form with Conditions - UpdatedOWNER:ADDRESS:CITY:STATE:ZIP:
REED DAVID E 10898 BRIDGES RD JACKSONVILLE FL 32218
COMPANY:ADDRESS:CITY:STATE:ZIP:
CREWS ELECTRICAL 3041 DOLLY DR JACKSONVILLE FL 32218
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170335 0000 PARK TERRACE
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
812 OCEAN BLVD ELECTRICAL RESIDENTIAL
PRIVATE PROVIDER-
800A/240V/1st phase-meter
can, panel change
$2000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $20.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $30.00
ELEC HEAT 455-0000-322-1000 0 $8.00
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 50 $30.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: 4/14/2022
PERMIT NUMBER
ERES22-0086
ISSUED: 4/14/2022
EXPIRES: 2/10/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELEC SERVICE CHANGE 455-0000-322-1000 400 $130.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $36.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.21
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.14
TOTAL: $349.35
2 of 2Issued Date: 4/14/2022
PERMIT NUMBER
ERES22-0086
ISSUED: 4/14/2022
EXPIRES: 2/10/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ALLRevisionRequest/Correction to Comments
HIGHLIHIGHLIGHTED
ON
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.Iric;1,
y
800 Seminole Rd, Atlantic Beach, FL 32233
4aais`•
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:Lt
LJa Revision to Issued Permit OR Corrections to Comments Date: q :., L--,j0J
Project Address: U /
OC-. A) 6614 1
Contractor/Contact Name: Y , ..,it6V J
Contact Phone: 'it' `-V 38 Z y$ II Z. Email: T c IT G/ •„Ste. Fi ec."1-,,,4110
cipy S20 / `1 4,4tee /y A4ee', G47
Description of Proposed Revision/Corrections:
met 4.4 j. e s!iee.J Foy a ieCOAztie V i iM,id Not Hvvr
e e/1 t G°j-14,18 07. P,otcc £k29I4 3, NEO p fa c ttet ik e re, 14%
C'O/4 LUPI 2-.4i d V ,%. v', P
I V-ii e.L c tJS affirm the revision/correction to comments is inclusive of the proposed changes.
printed name)
Wiyproposed revision/corrections add additional square footage to original submittal?
No Yes (additional s.f.to be added:
Wijl proposed revision/corrections add additional increase in building value to original submittal?
No *Yes (additional increase in building value: $ Contractor must sign if increase in valuation)
Signature of Contractor/Agent:
Office Use Only)
Approved Denied Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
Building
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
Electrical Permit Application ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
nPhone:
Q
904) 247-5826 Email: Fuilding-Dept@coab.us PERMIT#:
JOB ADDRESS: p C^ ',t r\ i iA PROJECT VALUE$ 3, O'
JEA INFORMATION REQUIRED ON ALL PERMITS: 800 AMPS:40 VOLTS_m_-PHASE
NEW SERVICE: Overhead oUnderground DXUnderground up Pole
Residential (Main)Service:
0-100 amps o101-150amps o151-200amps r0 BOO amps of Meters i
Commercial (Main)Service:
0-100 amps 101-150amps o151-200amps amps oCT Service amps
Conductor Type Size
Multi-Family(Main)Service:
0-100 amps o101-150amps o151-200amps amps of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: amps oCT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps :::150amps :200amps r
amps CT Service amps
I 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:
oSwimming Pool Sign oSmoke Detectors Qty) Transformers KVA oMotors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
1 ) REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can oSafety Inspection oPanel Change OH to UG
uOther:
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: 3c<c k Phone Number:
rkht-3$2-95'92
Electrical Company: C r P[(AS EI e c_-(':C.c+ C r,,n C.',11 Office Phone: 9O y'S20 )4(o9 Fax:
Co.Address: 157 7 9' .S I.E[IG(GC f r' rd City: Tc,.(`k.',nrw;I IF State: FL Zip: e222./v
License Holder: • I Stat• Ce ification/Registration#: EC-00025-3 4
Notarized Signature of License Holder kvi
The foregoing instrument was acknowl•.ged before me this 2 22'ay of 3 I,20 in he State of Florida,County of vo,l
Signature of Notary Public
RV PU'•
f"VANESSA ANGERS
IN ;•_ MY COMMISSION M HH 244118 [ ]
Personally Known OR [ oduced Identification
Type of Identification: FL O C- ac k l.,\)• LIweS
FbF F`oa; EXPIRES:March 23,2026