1769 Beach Ave ERES21-0194 Generator ReplacementOWNER:ADDRESS:CITY:STATE:ZIP:
COUGHLIN THOMAS R 1769 BEACH AVE ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
UNITED ELECTRIC
COMPANY OF
JACKSONVILLE
5716 SAINT AUGUSTINE ROAD JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169674 0000 NORTH ATLANTIC BCH
UNIT 1
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1769 BEACH AVE ELECTRICAL RESIDENTIAL REPLACE EXISTING
GENERATOR $40000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 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: 8/24/2021
PERMIT NUMBER
ERES21-0194
ISSUED: 8/24/2021
EXPIRES: 2/20/2022
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
2 of 2Issued Date: 8/24/2021
PERMIT NUMBER
ERES21-0194
ISSUED: 8/24/2021
EXPIRES: 2/20/2022
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $109.00
ERES21-0194 Address: 1769 BEACH AVE APN: 169674 0000 $109.00
BLDG SUBSEQUENT PLAN REVIEW FEES $50.00
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
ELECTRICAL $55.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R16836 $109.00
Printed: Tuesday, August 24, 2021 11:32 AM
Date Paid: Tuesday, August 24, 2021
Paid By: UNITED ELECTRIC COMPANY OF JACKSONVILLE
Pay Method: CREDIT CARD 501883238
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16836
ERES21-0194
400 120/240 Single
Revision Request/Correction to Comments ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
0110.
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 4-019 LI
I Revision to Issued Permit OR IX] Corrections to Comments Date: g//1/..?t
Project Address: /76 Y Lisa 6-4 44,e. 4144-1-; lea<, FG- 3.2.233
Contractor/Contact Name: ,; I E/e -4-i e 'o. 0,2 0,T vi (t2
Contact Phone: (104z) 333- °[ 343 Email: H?i ( (/rli tPek Gor.vr
Descriptionr1of Proposed Revision/Corrections:
e-p Att 1X1*51V1Q O etc 6,r 1('J Y't i l'V
5\not/v Sek\cAc\t — vy) rtT 1 >,v)e, etS 5' LI .-rr 1051-de 0-r q -PY)ct
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?
14 No Yes (additional s.f.to be added:
Will proposed revision/corrections add additional increase in building value to original submittal?
XNo ____]*Yes (additional increase in building value: $ Contractor must sign if increase in valuation)
Signature of Contractor/Agent:
Office Use Only)
H Approved L_i 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 Updated10/17/18
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