1717 Selva Marina Dr ERES21-0201 PP Elec ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
E._ "'� ERES21-0201
- CITY OF ATLANTIC BEACH- ISSUED: 8/16/2021
800 SEMINOLE ROAD's»rATLANTIC BEACH, FL 32233 EXPIRES: 2/12/2022
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:
1717 SELVA MARINA DR ELECTRICAL RESIDENTIAL PRIVATE PROVIDER $4500.00
ELECTRIC ALTERATION
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172014 0000 SELVA MARINA UNIT 05
COMPANY: ADDRESS: CITY: STATE: ZIP:
INFINITY ELECTRICAL 4786 RAYFORD ST JACKSONVILLE FL 32254
CONTRACTNG
OWNER: ADDRESS: CITY: STATE: ZIP:
AUDREY and JOHN 1717 SELVA MARINA DR ATLANTIC BEACH FL 32233-5617
McGOVERN
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 27 $16.20
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $0.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:8/16/2021 1 of 2
Electrical Permit Application **ALL INFORMATION
�� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ERG—SZl-Oa)
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: OSS �J—oloL(
JOB ADDRESS: /7/7 22V-4 )t/10- I r`-'k PROJECT VALUE $ '4/Scxf).
JEA INFORMATION REQUIRED ON ALL PERMITS: 2C0 AMPS .2q61VOLTS ( PHASE
El NEW SERVICE: CI Overhead ❑Underground ['Underground up Pole
Etesidential (Main)Service:
00-100 amps 1:101-150amps 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:
❑0-100 amps 10101-150amps 0151-200amps ❑ amps #of Unit Meters
ri TEMPORARY POLE: amps
0 SERVICE UPGRADE: ❑ amps ❑CT Service amps
n NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps aT 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: /2
• OTHER ELECTRICAL PROJECTS:
['Swimming Pool ['Sign ['Smoke Detectors (Qty) ❑Transformers KVA ['Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
EReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
tether: 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: MC Phone Number:
Electrical Company: S0-'40,-11-71 Office Phone: 53S—oS c Fax:
Co.Address: `/786 City: .2-71- x State: fC Zip: 322.Sc/
License Holder: c� ��— /Registration#: S3/7
Notarized Signature of License Holder -�// __ �_ I
The foregoing instrument was acknowledged re me this �( day o'iv�0� )'n the 5 : - of Florida,County of
s,.�;!v�e`c TONI GINDLESPERGER Signature of Notary Public •-. i
.•, ; . MY COMMISSION#GG 35317811.
EXPIRES:October 6,2023 Personally Known OR [ ] Produced Identification
�' '•'." Type of Identification:
n tCF F�Q� Bonded Thru Notary Public Underwriters