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1955 Francis Ave ERES22-0016 New Elec Serv ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER Ot ERES22-0016 CITY OF ATLANTIC BEACH , '_ V 800 SEMINOLE ROAD ISSUED: 1/25/2022 ATLANTIC BEACH. FL 32233 EXPIRES: 7/24/2022 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: New Elec Service: 200 Amps, 1955 FRANCIS AVE ELECTRICAL RESIDENTIAL NEW SINGLE FAMILY $2000.00 RESIDENCE TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 172101 0000 DONNERS S/D PT LOT 2 17- COMPANY: ADDRESS: CITY: STATE: ZIP: BEACHES ELECTRICAL GREEN COVE 214 COKESBURY CT FL 32043 SERVICES INC. SPRINGS OWNER: ADDRESS: CITY: STATE: ZIP: LINWARD DEVELOPMENT 7002 EPPING FOREST TER JACKSONVILLE FL 32217 CORPORATION WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II` 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. 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 NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 Issued Date:1/25/2022 1 of 2 %'iy''�'re' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER tERES22-0016 f' 1'470 CITY OF ATLANTIC BEACH ISSUED: 1/25/2022 -tic.)r e 800 SEMINOLE ROAD EXPIRES:7/24/2022 ATLANTIC BEACH, FL 32233 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$129.00 Issued Date:1/25/2022 2 of 2 Electrical Permit Application **ALL INFORMATION HIGHLIGHTED IN -, City of Atlantic Beach Building Department GRAY IS REQUIRED. /.1% 800 Seminole Rd, Atlantic Beach, FL 32233 (� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ERE-52-7: v 0 UP JOB ADDRESS: 1955 Francis Ave PROJECT VALUE $$ 2,000.00 JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE n NEW SERVICE: ❑Overhead Underground DUnderground up Pole DResidential (Main) Service: 00-100 amps f101-150amps 0151-200amps 0 amps #of Meters ❑Commercial (Main) Service: ❑0-100 amps D101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size ©Multi-Family(Main)Service: ❑0-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters n TEMPORARY POLE: amps SERVICE UPGRADE: 0 amps OCT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps ❑150amps 0200amps ❑ amps OCT 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: ❑ OTHER ELECTRICAL PROJECTS: ❑Swimming Pool Sign ❑Smoke Detectors (Qty) ['Transformers KVA ['Motors HP FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps n REPAIRS/MISCELLANEOUS: ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ElPanel Change DOH to UG [Other:Wire new home 200 amp u/g service 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: Linward Development Co. Phone Number: (904)704-3777 Electrical Company: Beaches Electrical Service Inc Office Phone: (904)629-3182 Co.Address: 214 Cokesbury Ct. City: GCS State: FL Zip: 32043 License Holder: Todd Lockwood Certification/Registration #: EC13009644 Notarized Signature of License Holder The fore:oin: instrument was ackno :: • •efore me this 2,5 day of J A IV ,2022, in the State of Florida, County of Dl)VA 1_ _• <. ' CHRISTIAN GILES ignature of Notary Public C • '�1 = MY COMMISSION#HH 117153 I'll •�- `,, :74.7 EXPIRES:April 13,2025 ] Personally Known OR IA/Produced Identification f ` Of,"°' Bonded mru Notary Public Unde wrltorr ype of Identification: F L- x • L - • 3310 WtA$TZIF1HO LS'iTtt i10188114MOD c4 2,S0i,EttngA:289t4X3 -o•-" bebnu8 : ec9llw,�ratxcU�du9 yeeioll unit •'"i w'._ �_��