2371 Seminole Rd ERES22-0194 COAB Permit Form with Conditions - RenewedOWNER:ADDRESS:CITY:STATE:ZIP:
BURT JOSEPH F II ET AL 2371 SEMINOLE RD ATLANTIC BEACH FL 32233-5971
COMPANY:ADDRESS:CITY:STATE:ZIP:
Service of Knights LLC 415 N 4th Avenue Jacksonville Beach FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
168441 0062 ATLANTIC TOWERS
CONDOMIUM
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
2371 SEMINOLE RD ELECTRICAL RESIDENTIAL ELECTRIC REMODEL -
Renewed $4000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 20 $12.00
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
TOTAL: $71.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 9/1/2022
PERMIT NUMBER
ERES22-0194
ISSUED: 9/1/2022
EXPIRES: 5/1/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 9/1/2022
PERMIT NUMBER
ERES22-0194
ISSUED: 9/1/2022
EXPIRES: 5/1/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Electrical Permit Application ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 322332l5L22 7
Phone: (904) 247-5826 Email: Buiiding-Dept@.coab.us PERMIT#: 'LRESZ2-dl`--)z
JOB ADDRESS: P -'7-1- I 5e-I`^t uo`- 1Rci PROJECT VALUE$x'000 .r
y
IEA INFORMATION REQUIRED ON ALL PERMITS: ZOO AMPS 12v VOLTS 1 PHASE
Ti NEW SERVICE: 0 Overhead ['Underground Underground up Pole L' 54-i05
EIResidential(Main) Service:
00-100 amps 13101-150amps 0151-200amps 0 amps of Meters
Commercial (Main)Service:
00-100 amps 0101-150amps E1151-200amps amps OCT Service amps
Conductor Type Size
DMulti-Family(Main) Service:
D-100 amps 0101-150amps 0151-200amps 0 amps of Unit Meters
n TEMPORARY POLE: amps
SERVICE UPGRADE: amps OCT Service amps
in NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps cT Service amps
Ti ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: I 0-30amps 31-100amps 101-200amps
Appliances: 2 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits:circuits @ kw i 4 cVeNI ex,- :.) e_ 1
Number of Lighting Outlets, Including Fixtures: V
C OTHER ELECTRICAL PROJECTS:
Swimming Pool['Sign OSmoke Detectors Qty) Transformers KVA OMotors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS: c_Lc.N
Replace Burnt/Damaged Meter Can OSafety Inspection Panel Change DOH to UG
Other: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: S O i_ 13 LkR I ` Phone Number:
s vElectricalCompany: 5 e ;c r' rOC t\;of $ L-L-L Office Phone:
q"1 C)\--k '33q-53 151 Fax:
Co.Address:1 15-- ''IAN ' k-sk City: -SAN, d C k state:CL Zip: 32 Z co
License Holder: 1 s.--)\APN i--I. N4 N-N-. `.Sttate Certification/Registration It: L' i 1301 S aci
Notarized Signature of License Holder 7-/- 1.,-t 1
41
The foregoing instrument was acknowledged be ore me this- day of /4--Kci ,201-Z- in the State ofaFlorida,County of ctuf4 L
u Notary PuDlicSts ofFlo lde Signature of Notary Public 1-(2 .1 l t
Beverly K Elias vv
My Comtni,uioo GG 315109 personally Known OR [ ] Produced IdentificationeiF.xpins
siaks„s„
Type of Identification: