1791 Sea Oats Dr ERES23-0281 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
MUKRI KEVIN SHAUN 1791 SEA OATS DR ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
LOCAL ELECTRIC LLC 4229 SUMMERTON OAKS CIR JACKSONVILLE FL 32223
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172020 0452 SELVA MARINA UNIT 08
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1791 SEA OATS DR ELECTRICAL RESIDENTIAL ELECTRIC - FOR OUTSIDE $1500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 5 $3.00
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: $62.00
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: 11/17/2023
PERMIT NUMBER
ERES23-0281
ISSUED: 11/17/2023
EXPIRES: 5/15/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 11/17/2023
PERMIT NUMBER
ERES23-0281
ISSUED: 11/17/2023
EXPIRES: 5/15/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
r4., Electrical Permit Application ALL INFORMATION
HIGHLIGHTED IN
JS .City of Atlantic Beach Building Department GRAY IS REQUIRED.
14°800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: RESO23-0091
JOB ADDRESS: : 1791 Sea Oats Drive Atlantic Beach,FL 32233 PROJECT VALUE $1500
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
NEW SERVICE:Overhead oUnderground Underground up Pole
Residential (Main)Service:
0-100 amps 0101-150amps o151-200amps amps of Meters
Commercial (Main)Service:
0-100 amps o101-150amps o151-200amps amps ECT Service amps
Conductor Type Size
Multi-Family(Main)Service:
0-100 amps o101-150amps o151-200amps o amps of Unit Meters
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: 4 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: 1
OTHER ELECTRICAL PROJECTS:
Swimming Pool Sign oSmoke Detectors Qty) Transformers KVA Motors HP
FIRE ALARM SYSTEM (Requires 1 set of digital plans):
Qty volts/amps
p REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can Safety Inspection oPanel Change OH to UG
Other:
Updated 10/11/23
MINIMEMEMINENNIMENIIIIIIIIIMIl
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: Z40% FClU4/ Phone Number: 904-307-1453
Electrical Company: Local Electric LLC Office Phone: 904-339-5229 Fax:
Co.Address: 112Z9 Somme'40^ Oc( g Gr''ch., City: rG(ksM4)t I'' State: A- Zip: 32223
License Holder: Icy, 4 f,eT State Certification/Registration#: EC13007206
Notarized Signature of License Holder A ,.. ..'l
gnuter,
i
The foregoing instrument was acknowledged before me this) day of 2 t7 j • e State of Florida,County of OVG,„
C TONI GINDLESPERGER Signature of Notary Public 1
4sMY COMMISSION#HH 407122
PersonallyKnown OR Prodt Identificatione: EXPIRES:October 6,2027
1]tt°• Type of Identification: