812 Ocean Blvd ERES22-0086 COAB Permit Form with Conditions - Updated 10-20-23OWNER: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-
400A/240V/3 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: $349.35
2 of 2Issued Date: 4/14/2022
PERMIT NUMBER
ERES22-0086
ISSUED: 4/14/2022
EXPIRES: 2/10/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
i -,!'Revision Request/Correction to Comments ALL INFORMATION
HIGHLIGHTED IN
jCity of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
7 p
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: GRE 0 0
IT Revision to Issued Permit OR Corrections to Comments Date. I a /2-0/.2-3•
Project Address: g Il de t PiA) 13I' IV.
Contractor/Contact Name: :TA Cif CAttCk.S
Contact Phone: 9O' 36)...- 93 qO2 Email: CkC/f°C(125._Et ET1e 6274 k 00,Coin
Sou 2o - 11169
Description of Proposed Revision/Corrections:
O ochAN ilk to- ;ismer g09liiPI4) * a41(49ar0,
I affirm the revision/correction to comments is inclusive of the proposed changes.
printed name)
Will proposed revision/corrections add additional square footage to original submittal?
E No Yes (additional s.f.to be added:
Will proposed revision/corrections add additional increase in building value to original submittal?
Yes(additional increase in building value:$ Contractor must sign if increase in valuation)
Signature of Contractor/Agent: . r'
O
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