1774 Selva Marina Dr ERES19-0095 panel change permit '''i Iell ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
A
_ ERES19-0095
CITY OF ATLANTIC BEACH
ISSUED: 3/21/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 9/17/2019
INSPECTIONMUST CALL • .04 247-5814 BY . PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION • OF • ' i + BUILDING
CODE NEC, IPMC, AND CITY OF ATLANTIC BEACH • i OF ORDINANCES .
ALL • i • 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:
1774 SELVA MARINA DR ELECTRICAL RESIDENTIAL PANEL CHANGE AND 7 $1200.00
OUTLETS
TYPE OF
i • GROUP:
172010 0000 SELVA MARINA UNIT 05
COMPANY: ADDRESS:
FIRST CHOICE ELECTRIC 716 N VALLEY FORGE RD NEPTUNE BEACH FL 32266
INC
• ADDRESS:
SHERLINE ERIC D 1774 SELVA MARINA DR ATLANTIC BEACH FL 32233-5618
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 • . •
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 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: 3/21/2019 1 of 2
ALL
Electrical Permit Application **HIGHLI HIGHLIGHTED
ON
' HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
— % 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 17-]y <�p c_1\/C� 0,\/ t ►J� Vn PROJECT VALUE $
JEA INFORMATION REQUIRED ON ALL PERMITS: Z�,(-)AMPS L-,j VOLTS PHASE
❑ NEW SERVICE: Overhead -iUnderground ❑Underground up Pole
iResidential (Main) Service:
0-100 amps 101-150amps o151-200amps ❑ amps #of Meters
Commercial (Main) Service:
❑O-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
-_iMulti-Family(Main) Service:
❑O-100 amps i101-150amps E1151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps 200amps L_ amps CT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 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:
❑ OTHER ELECTRICAL PROJECTS:
❑Swimming Pool Sign ❑Smoke Detectors (qty) ❑Transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection )(Panel Change ❑OH to UG
/ \ upaaredio/1�/is
❑Other:
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: P- IC'_ 15j1\e.,r ( te-.j T, Phone Number:
Electrical Company: 4Z C:lnni c-<. LlceJyr ?'C' Office Phone: Fax:
Co.Address: 1 r t City: State: r-Z Zip:
License Holder: State Certification/Registration#:
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this Zk da of A in th State of Florida,County of
TONIGINDLESPERGtR Signature of Notary Public
MY COMMISSION#FF 924951
EXPIRES:October 6,2019 [ ] Personally Known OR[ ] Prod ced Identification
ci
fo
Bonded Thru Notary Public Underwriters Type of Identification: . L