2216 ALICIA LN ERES23-301 seNet ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
b CITY OF ATLANTIC BEACH ERES23-0301
800 SEMINOLE ROAD ISSUED: 12/15/2023
� i ATLANTIC BEACH. FL 32233 EXPIRES: 6/12/2024
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:
2216 ALICIA LN ELECTRICAL RESIDENTIAL ELECTRIC FOR REMODEL $1500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169519 0820 TIFFANY BY THE SEA
COMPANY: ADDRESS: CITY: STATE: ZIP:
MILLENNIUM
CONTRACTING AND 4033 Glenhurst Dr N JACKSONVILLE FL 32224
DEVELOPMENT I
OWNER: ' ADDRESS: CITY: STATE: ZIP:
B & C ELECTRICAL INC 12447 PATRICK CT JACKSONVILLE FL 32225
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 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
Issued Date: 12/15/2023 1 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
1\ City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ERC ZS-030 t
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: di.2 — c9 Z2
JOB ADDRESS: 2 /lo y4/l,e/Gl 1,4/ PROJECT VALUE $ /S'&
JEA INFORMATION REQUIRED ON ALL PERMITS;. _AMPS CWOLTS / PHASE
NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential (Main) Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Meters
'Commercial (Main)Service:
::0-100 amps o101-150amps o151-200amps ❑ amps ICT Service amps
Conductor Type Size
Multi-Family(Main) Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
I SERVICE UPGRADE: ❑ amps ❑CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps CT Service amps
P1 ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30am ps 31-100amps 101-200am ps
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 1 set of digital plans):
Qty volts/amps
rThiEFAIRS/MISCELLANEOUS:
❑Replac- r /Dam.:ed Meter Can1 oSafety Inspection ❑Pane Change EON to UG
❑Other: . : - !Ys i 4': A • A urs ; _ t Upd.j 1 J3
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: Phone Number:
Electrical Company: /`'*-1(". Office Phone: ,474/622cf-7(ol,! Fax:
Co.Address: LQL/-/7 /G7!'el / City: �/� e.,.// State:/ - Zip: 32Z2J
License Holder: _ _ uc-f State Certification/Registration#: /ce
Notarized Signature of License H. ••
The foregoinf,instrulryle pr�3ctonrw,SIR before me this t da 9P1b& F4 the State of Florida, aunty of
TONI GINDLESPERGER nature of Notary Public '�0
MY COMMISSION#HH 407122
11 .moo, 40, P• EXPIRES:October 6,2027 Personally Known OR[ IProduced Identification
-:;,71":!+X
F !`O;r
pe of Identification: