1215 Selva Marina Cir ERES19-0275 Outdoor Kitchen rs'"`''`J`'� ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
S ERES19-0275
V� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 9/24/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/22/2020
MUST CALL INSPECTION • ! • i PM FOR + INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' + BUILDING
CODE, ' AND OF + NTIC BEACH CODEOF 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:
1215 SELVA MARINA CIR ELECTRICAL RESIDENTIAL ELECTRIC FOR OUTDOOR $1000.00
KITCHEN - 4 OUTLETS
TYPE OF
ZONING: :D •
• • GROUP:
171911 0000 SELVA MARINA UNIT 01
COMPANY: ADDRESS:
DECO ELECTRICAL
CONSTRUCTION 13046 DUNN CREEK RD JACKSONVILLE FL 32218
• ADDRESS:
SAUNDERS SAMUEL 1215 SELVA MARINA CIR ATLANTIC BEACH FL 32233-5742
PALMER
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 4 $2.40
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
Issued Date: 9/24/2019 1 of 2
"ALL ON
Electrical Permit Application HIGHLIGHTEDIN
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#:
U H �❑
JOB ADDRESS: 1 ,2 / � P,..� Ci -
� QY� 111 LL (v ; � PROJECT VALUE $ !GG��-, _
JEA INFORMATION REQUIRED ON ALL PERMITS: )6 AMPS VOLTS�_ PHASE
❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
,Residential (Main) Service:
❑0-100 amps 101-150amps ❑1S1-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
u0-100 amps 101-150amps ❑1S1-200amps Li amps CT Service amps
Conductor Type Size
`-Multi-Family(Main)Service:
❑0-100 amps ❑101-150amps u151-200amps ❑ amps # of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: amps PCT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps 150amps I200amps amps CT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: _mo0-30amps 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 [iSign ❑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 Updated 10/17/18
❑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 rmit oes not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. �Q �� —6g-O7 Y
Owner Name: CQ L' S Phone Number:
Electrical Company: < 1'h 60ae Phone: S_69_1745 Fax:
1
Co.Address: u City:� State: Zip:x.71
License Holder: State Certification/Registration#: 6f!)?6 AI P2
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this day o 2 n the St to of F rida, County of
Signature of Notary Public
`e( TONI GINDLESPERGER
MY COMMISSION#FF 924951
] Personally Pl) Known OR [ ] Produced Identification
. P :October 6,2019
EXPIRES
BoEXPIR No!aryPuhl'cUndewnters Type of Identification: