1801 Selva Marina Dr ERES19-0347 60 Outlets/Smoke Detectors ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
jilltal CITY OF ATLANTIC BEACH ERES19-0347
u� 800 SEMINOLE ROAD ISSUED: 12/6/2019
wary
V EXPIRES: 6/3/2020
ATLANTIC BEACH. FL 32233
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:
1801 SELVA MARINA DR ELECTRICAL RESIDENTIAL ELECTRIC 60 OUTLETS & $8000.00
SMOKE DETECTORS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0706 SELVA MARINA UNIT 10
COMPANY: ADDRESS: CITY: STATE: ZIP:
ISLAND ELECTRIC OF THE JACKSONVILLE
P.O. Box 50636 FL 32250
FIRST C BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
JENNIFER & CURTIS HILL 10 10TH ST 38 ATLANTIC BEACH FL 32233
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 0 $0.00
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
Issued Date: 12/6/2019 1 of 2
.;,LA,'r-,,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
l CITY OF ATLANTIC BEACH ERES19-0347
x ISSUED: 12/6/2019
800 SEMINOLE ROAD
=olt19 ATLANTIC BEACH. FL 32233 EXPIRES: 6/3/2020
TOTAL: $94.00
Issued Date: 12/6/2019 2 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
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City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 "-`I - try - 34
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: kE 51q-033S
JOB ADDRESS: I i 540-1 V i St-VA MARd vq a.. PROJECT VALUE $ .0O6 •,z)
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS Z tO VOLTS C PHASE
I I NEW SERVICE: a Overhead ❑Underground ❑Underground up Pole
❑Residential (Main)Service:
F0-100 amps ❑101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main) Service:
❑0-100 amps ❑101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
I Multi-Family(Main)Service:
n0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
SERVICE UPGRADE: amps CT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps amps CT Service - amps
I VADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: D 0-30amps 31-100amps 101-200amps
Appliances: S 0-30amps 31-100amps 101-200amps
A/C Circuits: l* 0-60amps 61-100amps
Heat Circuits: !rr)( # circuits @ kw
Number of Lighting Outlets, Including Fixtures: Ln
OTHER ELECTRICAL PROJECTS:/
Swimming Pool :Sign /Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
I I FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
I I REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change EON to UG
❑Other: Updated 10/17/18
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: J !,1 t Fik 4 cokri S 111 it Phone Number:
Electrical Company: f LA OArL 4 tWG Office Phone: 2 4 t, d1O%'s- Fax:
Co.Address: 62$ jLR AUL p City: pK BcH State: fi . Zip: 22sv
License Holder: JG'vr,,i top Pr -S' State Certification/Registration#: F-1--' 13'eris`d y
Notarized Signature of License Holder JV"✓]lL)$`') 8, !f � 44
The foregoing instrument was acknowledged before me this day o A& ,ett ' 21 in he State of Florida, County of "�Uv�(
:._._.,.�� lis _,♦ ,-
' vsY.e TONI GINDLESPERGER Signature of Notary Public
`P ,1� MY COMMISSION#GG 353178
n: [ ] Personally Known OR[ ] Produced Identifi ation k
EXPIRES:October!,2023 f
1-:.?;)..,:-,:.-:.
Bonded TTxu Notary nderwriters Type of Identification: k l U V "
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