824 BONITA RD ERES23-0302 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACHERES23-0302
yr 800 SEMINOLE ROAD ISSUED: 12/18/2023
-to1119 ATLANTIC BEACH. FL 32233 EXPIRES: 6/15/2024
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.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
824 BONITA RD ELECTRICAL RESIDENTIAL ELECTRIC ADDITION AND
REMODEL $7000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171102 0000 ROYAL PALMS UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
PANCHO MG ELECTRICAL AGENT BENJAMIN EDWARD SMITH JACKSONVILLE FL 32246
SERVICES LLC -
OWNER: ADDRESS: CITY: STATE: ZIP:
GREEN ISSAC 824 BONITA RD ATLANTIC BEACH FL 32233-4229
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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
TOTAL: $94.00
Issued Date:12/18/2023 1 of 2
Electrical Permit Application **ALL INFORMATION
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'f HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
J800 Seminole Rd, Atlantic Beach, FL 32233 E 1ESZ3 —03 OL
'''"-'1'1.)y, Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ( Ei)A 2, -, 0039
JOB ADDRESS: F2 r?)GY1t\C, PROJECT VALUE $ 70 O
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 24 p VOLTS Z PHASE
j NEW SERVICE: ❑ Overhead ❑Underground IkUnderground up Pole
Residential (Main)Service: /, I
❑0-100 amps o101-150amps o151-200amps ❑ CS amps #of Meters
:Commercial (Main)Service:
0-100 amps ❑101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type 3`` Size
❑Multi-Family(Main) Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ ?CD amps ICT Service amps
L NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps 1200amps amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 60 0-30amps 31-100amps 101-200amps
Appliances: 3 0-30amps 31-100amps 101-200amps
A/C Circuits: _ 1 0-60amps 61-100amps
Heat Circuits: ( # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
I I OTHER ELECTRICAL PROJECTS:
❑Swimming Pool ESign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors _ HP
FIRE ALARM SYSTEM (Requires 1 set of digital plans):
Qty volts/amps
I I REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change EON to UG
❑Other: 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. L '0Ob� CrQ L
Owner Name: `) '('nen nhomr s , Phone Number: (log �7 q 62C2
Electrical Company: ?OS\�'no m(A e ,et-Y\CC(i S('y�i�Office Phone: Cri-i 7 7 5`��l `7 2- Fax:
Co.Address: I f)1 5Un r(SC CAT kit - City: )r\(k( )Y'lJI I I- State: fl Zip: za_6
License Holder: f C. I 30 \ ZO'53 State Certification/Registration#: F I
Notarized Signature of License Holder (
The foregoing instrument was acknowledged before me this I ay of .i. `) • 20 orrp t e Stat of Florida,County of b OI'c I
SignatureSof Notary Public r
prP 4I"Crsonally Known OR[ ] Produced Identification
`'-- TONIGINDLESPERGER
,�i` : MY COMMISSION#HH 407122 Type of Identification:
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:,Foy«•° EXPIRES:October 6,2027