1878 Seminole Rd ERES20-0234 elec permitOWNER:ADDRESS:CITY:STATE:ZIP:
MIDDLETON CATHERINE W 1878 SEMINOLE RD ATLANTIC BEACH FL 32233-5916
COMPANY:ADDRESS:CITY:STATE:ZIP:
ISLAND ELECTRIC OF THE
FIRST C PO BOX 50636 JACKSONVILLE
BEACH FL 32250
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172020 0522 SELVA MARINA UNIT 09
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1878 SEMINOLE RD ELECTRICAL RESIDENTIAL ELECTRIC - 98 FIXTURES $4000.00
FEES
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
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: 11/4/2020
PERMIT NUMBER
ERES20-0234
ISSUED: 11/4/2020
EXPIRES: 5/3/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 11/4/2020
PERMIT NUMBER
ERES20-0234
ISSUED: 11/4/2020
EXPIRES: 5/3/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Electrical Permit Application ALL INFORMATION
rf
HIGHLIGHTED IN7
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ERE 320-02 34r'``'')r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 18178 SEMINOLE RD i g - PROJECT VALUE $$4,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 150 AMPS 240 VOLTS 1 PHASE
El NEW SERVICE: 0 Overhead DUnderground DUnderground up Pole
DResidential (Main)Service:
00-100 amps D101-150amps 0151-200amps amps of Meters
Commercial (Main)Service:
00-100 amps 0101-150amps 0151-200amps amps OCT Service amps
Conductor Type Size
Multi-Family(Main) Service:
1:10-100 amps 0101-150amps 0151-200amps 0 amps of Unit Meters
11 TEMPORARY POLE: amps
Eil SERVICE UPGRADE: amps OCT Service amps Lt (_
r-7 NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): Tc, ,__,
0100
r,?,_-
100 amps 150amps 0200amps 0 amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches:80 0-30amps 31-100amps 101-200amps
Appliances: 4 0-30amps 31-100amps 101-200amps
A/C Circuits: 1 0-60amps 61-100amps
Heat Circuits: 1 circuits @ 10 kw
Number of Lighting Outlets, Including Fixtures: 12
1-1 OTHER ELECTRICAL PROJECTS:
Swimming Pool OSign ElSmoke Detectors 4 Qty) Transformers KVA Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can OSafety Inspection Panel Change DOH to UG
Dither: 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: MIDDLETON, CATHERINE W. Phone Number: C104-248-Bcilor1
Electrical Company: ISLAND ELECTRIC OF THE FIRST COAST, LLC Office Phone: 246-9085 Fax:
Co.Address: 628 5th AVE N City: JAX BEACH State: FL Zip: 32250
License Holder: JOHNSON B. REEP State Certification/Registration#: EC13007394
22 ,
Notarized Signature of License Holder ,10440 i1.0 v - rs. w43
rift
The • n•••! .• •••• . •• • d before me this day o AI • 0 he State of Florida, County of .1- ,,i)0(1./1
F. g" TONI GINULESPERGER 1
c„
MY COMMISSION#GG 353178 ' gnature of Notary Put ' r..
o` EXPIRES.October 6,2023
9Ff.,"•° Ronda ThruNotary Public Underwriters ] Personally Known OR [ ] Produced Identification
ype of Identification: Th
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
ERES20-0234 Address: 1878 SEMINOLE RD APN: 172020 0522 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: R14037 $94.00
Printed: Wednesday, November 4, 2020 4:09 PM
Date Paid: Wednesday, November 04, 2020
Paid By: Kelli Reep
Pay Method: CREDIT CARD 392355060
1 of 1
Cashier: JJ
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R14037