2233 Seminole Rd Unit 28 ERES23-0265 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
LUCKIE DAVID M 2233 SEMINOLE RD #28 ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
PREMIER
COMMUNICATIONS
GROUP
260 State Rd #16 ST. AUGUSTINE FL 32084
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169519 0154 OCEAN VILLAGE ONE
CONDO
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2233 SEMINOLE RD UNIT 28 ELECTRICAL RESIDENTIAL Rewiring Unit 28 $15000.00
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
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: 11/2/2023
PERMIT NUMBER
ERES23-0265
ISSUED: 11/2/2023
EXPIRES: 4/30/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $94.00
2 of 2Issued Date: 11/2/2023
PERMIT NUMBER
ERES23-0265
ISSUED: 11/2/2023
EXPIRES: 4/30/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
Electrical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
JOB ADDRESS:PROJECT
PERMIT#:
VALUE $ 1
JEA INFORMATION REQUIRED ON ALL PERMITS: ls~0 AMPS VOLTS 1 PHASE
NEW SERVICE:
□Residential (Main) Service:
cO-100 amps GlOl-lSOamps
□Commercial (Main) Service:
□0-100 amps GlOl-lSOamps
Conductor Type
□Multi-Family (Main) Service:
nO-100 amps nlOl-lSOamps
□ Overhead nUnderground aUnderground up Pole
□151-200amps # of Meters□amps
□151-200amps □CT Service□amps amps
Size
# of Unit Meters□151-200amps □amps
TEMPORARY POLE:amps
SERVICE UPGRADE: □□CT Serviceamps amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
□ 100 amps GlSOamps G200amps □.amps gCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
31-lOOamps
31-lOOamps
,61-lOOamps
Outlets/Switches:
Appliances:
A/C Circuits:
_0-30amps
0-30amps
0-60amps
101-20
Heat Circuits:. # circuits @
Number of Lighting Outlets, Including Fixtures:
kw
0amps
101-200amps
OTHER ELECTRICAL PROJECTS:
□Swimming Pool □Sign nSmoke Detectors (Qty) aTransformers KVA nMotors HP
FIRE ALARM SYSTEM (Requires 1 set of digital plans);
volts/ampsQty
REPAIRS/MISCELLANEOUS:
□Replace Burnt/Damaged Meter Can □Safety Inspection nPanel Change nOH to U
gOther: K ■U/0,ri/v.t\ LlwiV f\\WtH. r*l IaJ ‘ r t a Updated 10/11/23
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: Phone Number:
Office Phone: ^ 0M ● 93 P \
City: A State: H Zip:
State Certification/Registration it: D (c3 3 |
Fax:PrgjMElectrical Company:
Co. Address: O-UQ V'.o
k -U
TTAle-r~License Holder:
Notarized Signature of License Holder
The foregoing instrument was acknowl this 2J^day of OcXOfc€5^20'22> in the State of Florida, County of
spr^ification '4
fed before me
Signature of Notary Public
^rf^Personally Known OR [ ] Produced Ide
Type of Identification:
CAREY L MURPHY
: MYCOMM!SSION#GGS82133
EXPIRES: April 27.2024
Bonded Tfiru Notary Public Underwriters
ERES23-0265