1855 N Sherry Dr ERES21-0011 Kitchen Remodel LAIiric, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES21-0011
ISSUED:SEMINOLE ROAD 1/15/2021
�� EXPIRES: 7/14/2021
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.
gOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
hat may be found in the public records of this county, and there may be additional permits required from other
:overnmental entities such as water management districts, state agencies, or federal agencies.
€ 4 JOB ADDRESS: I PERMIT TYPE: DESCRIPTION: I VALUE OF WORK:
ELECTRICAL - KITCHEN
1855 N SHERRY DR ELECTRICAL RESIDENTIAL REMODEL $1000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0804 SELVA MARINA UNIT 10C
COMPANY: ADDRESS: CITY: STATE: ZIP:
FIRST CHOICE ELECTRIC 716 N VALLEY FORGE RD NEPTUNE BEACH FL 32266
INC
OWNER: ADDRESS: CITY: STATE: ZIP
WIGHT ERIN LARGO 1855 SHERRY DR N ATLANTIC BEACH FL 32233
NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If'
'OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
✓IUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
ZECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
toll 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 20 $12.00
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:$71.00
Issued Date:1/15/2021 1 of 2
rf�'''i:ri. ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
C) '�
�\; .; � ERE521-0011
rte, CITY OF ATLANTIC BEACH
�� z ISSUED: 1/15/2021
800 SEMINOLE ROAD
��I;' 9_YATLANTIC BEACH, FL 32233 EXPIRES: 7/14/2021
Issued Date:1/15/2021 2 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
,f
City of Atlantic Beach Building Department GRAY IS REQUIRED.ER
800 Seminole Rd, Atlantic Beach, FL 32233 S z( -00<
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:' f) 21-0O(O
JOB ADDRESS: 1 rR>(-, t.S, �!„, r-,,- 1 1),1 fi � PROJECT VALUE $ r, 1 , bio •2'
JEA INFORMATION REQUIRED ON ALL PERMITS: ZCSO AMPS 2,48 VOLTS j ,PHASE
NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps D101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
rMulti-Family(Main)Service:
0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
0 SERVICE UPGRADE: ❑ amps ECT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
H100 amps n150amps n200amps amps nCT Service amps
I I ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 3 0-30amps 31-100amps 101-200amps
Appliances: 3 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 17---
OTHER
ZOTHER ELECTRICAL PROJECTS:
nSwimming Pool _Sign ISmoke Detectors (Qty) ❑Transformers KVA ❑Moto rs HP
f 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
Updated 10/17/18
❑Other: �C�fic_(nc�1 t�,[,w�c5c=)c
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: s 1rk-1 t rI (r„-• Phone Number:
Electrical Company: k 9 c-7-1. C y,,a lc..e., a\euLA v' ,C, Office Phone: z,.ut k -133 l Fax:
Co.Address: 7\Lc.\Ir`,\c-t77-,rrr R.L t.1 City: Cv:ko.► C AN,State: 'ft. Zip: 2,7zLC
License Holder: Lc�N.,_\cT.,,,c_r_ \-i_< .c..A1,4%.3 State Certification/Registration#: e C-cyy.2 Z iS
Notarized Signature of License Holder ,, , . _ _
The foregoing instrument was acknowledged before me this day 4Vit. 111114/,in the State of Florida,County of
�,�, Signature of Notary Public — '_ OM ,�
`SPRY p('
: „•.; TON:GINDLESPERGER krPersonally Known OR[ 1 Produced Identification
•: •s i,; MYCOMMISSION#GG 353178 Type of Identification:
'..,;;;,,. ..:,7".? EXPIRES.?•• October
6,2023
_ --___-t d__ __7r"u Nota NFUbiic
Underwrfters