1765 Selva Marina ERES18-0411 r%• ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0411
,o • 800 SEMINOLE ROAD ISSUED: 12/10/2018
ATLANTIC BEACH. FL 32233 EXPIRES:6/8/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814
Y 4 PM FOR NEXT DAY INSPECTION.
ALL • ' • • • • EDITION t OF • ' • ' BUILDING
CODE, NEC, IPIMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF
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.
1765 SELVA MARINA DR ELECTRICAL RESIDENTIAL New UG Service $51000.00
ZONING:TYPE OF REALESTATE SE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1720180000 SELVA MARINA UNITOS
COMPANY: ADDRESS:
DAN'S ELECTRICAL 6451 BEACH BLVD JACKSONVILLE FL 32216
CONTRACTING
• ADDRESS:
CLINE CHRISTOPHER 1765 SELVA MARINA DR ATLANTIC BEACH FL 32233-5638
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 CONDMONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 400 $11000
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-20807M 0 $2.48
STATE DCA SURCHARGE 455000020806M 0 $300
TOTAL:$169.48
Issued Date: 12/10/2018 1 of 2
Electrical Permit Application "ALLINFGHTEDI ON
PP HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 Lk&s/a- 0401]
Phone: (904) 247-5826 Email: Building-DeotidicoaLus PERMIT#: RSSI S-03S I
JOB ADDRESS: 1765 Selva Marina Dr PROJECT VALUE $
JEA INFORMATION REQUIRED ON ALL PERMITS: ^o^AMPS 2^ VOLTS ' PHASE
E]NEW SERVICE: (3 overhead 01Jnderground ElUndergroundW Pole
oResidential(Main)Service:
00-100 amps E901-150amps 0151-200amps 0�_amps If of Meters 1
OCommercial(Main)Service:
00-100 amps (3101-150amps 0151-200amps 0 _amps M Service_amps
Conductor Type Size
C1Multi-Family(Main)Service:
[]3-100 amps 0301-150amps 0151-200amps r-1 amps #of Unit Meters_
❑TEMPORARY POLE:_amps
❑SERVICE UPGRADE:Oamps OCT Service_amps
❑NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
0100amps 0150ani ❑200amps 0----amps [ TService_aarps
❑ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches: 11B 0-30amps 31-100amps _101-200amps
Appliances: 3 0-30amps t 31-100amps _101-200amps
A/C Circuits: ?0-60amps 61-100amps
Heat Circuits: 2 IS circuits @_ Q_kw
Number of Lighting Outlets, Including Fixtures: 65
OTHER ELECTRICAL PROJECTS:
OSwimming Pool OSign OSmoke Detectors (City) OFransformers Ki ❑Motors HP
❑FIRE ALARM SYSTEM(Requires 3 sets of plans):
qty volts/amps
❑REPAIRS/MISCELLANEOUS:
OReplace Bumt/Damaged Meter Can OSafety Inspection OPanel Change OOH to UG upented 10/17/13
QOther:
Perm becomes void#work does not commence within a six month permd or work k suspereled or abandoned for six months. I hereby aerely that I have
nvtl Mis appf�tion and krrowthe same to be cox antl correct All Provisions of laws and ordinances govemingthu work will be comphedw#h whether
specfied or not. The permit does not give authonty to violate the provisions of any other state ar local law regulation construction or Me performance of
construction.
Owner Name: Chns Cline Phone Number: (W)7t&47ffi
Electrical Company: oan",De`aim Cuno'c°re.km Office Phone: 4e00n48eal Fax:
Co.Address:
1etwe#Rd CITY ' dksxwa° State:R ZIP: MIS
Uceose Holder: State Certification/Registration#: Eo13m2a24
Notarized Signamrr crsc Ho/der -
The foregoing instrument was acknowledged before me this Cay in the State of Florida,County of EEL
Signature of Notary Pub
TRACEE ROBINSON ��A
s`- Notary Public-slate of Florida [ )Personally Known OR I Y riraduced Identif catem
Comminion Ar GG 012427 Type of(dentificanon:fl. t>V)''PA S I I(D y3 --
- My Comm.Expires Sep 18.2020
s
Cash Register Receipt Receipt Number
City of Atlantic Beach R7572
n;e i
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $263.48
ERES18-0411 Address: 1765 SELVA MARINA DR APN: 172018 0000 $169.48
ELECTRICAL $165.00
ELECTRICALBASE FEE 455-0000-322-1222 $S5.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 400 $110.00
STATESURCHARGES $4.48
STATE OBER SURCHARGE 455-0000-208-0]00 0 $2.48
STATE )CA SURCHARGE 455-0000-208-0600 0 $2.00
TEMP18-0048 Address: 1765 SELVA MARINA DR APN:1720180000 $94.00
ELECTRICAL $90.00
ELECTEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPRSURCHARGE 455-0000-208-0]00 0 $2.00
STATE DCA SU RCHARG E 455-0000-208-0600 0 $2.00
TOTAL
Date Paid: Monday, December 10, 2018
Paid By: DAN'S ELECTRICAL CONTRACTING
Cashier: BA
Pay Method:CREDIT CARD 6
Printed:Monday,December 30,2018 2:21 PM 1 of 1