Permit Elec Misc. 2223 Alicia Ln 2012 \ gi CITY OF ATLANTIC BEACH
r. \..:-..
.r^ .. s 800 SEMINOLE ROAD
U y ` ° ATLANTIC BEACH, FL 32233
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INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000601 Date 5/16/12
Property Address 2223 ALICIA LN
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
4 OUTLETS SWITCHES
Owner Contractor
LIPINSKI JOHN JR & DOROTHY AMERICAN ELECTRICAL CONTRACTOR
2223 ALICIA LANE 5065 ST. AUGUSTINE RD #13
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 737 -7770
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 57.40 Plan Check Fee .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/12/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 57.40 57.40 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 61.40 61.40 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 2223 ALICIA LANE PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS _240 VOLTS Single PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead ❑ Underground (lJ Underground up Pole
[Residential (Main) Service
0 -100 amps 11 101- 150amps 15 1- 200amps I amps # of Meters
Commercial (Main) Service
0 -100 amps 1 1101 150amps 1_1151- 200amps II amps ''CT Service amps
Conductor Type Size
Multi- Family (Main) Service
0 - 100 amps x1101 150amps 1 151 200amps II amps # of Unit Meters
'Temporary Pole I _' amps
SERVICE UPGRADE r , amps II CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps CI 150amps I i200amps I, amps [ ICT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 4_0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ k
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
C' Swimming Pool i ] Sign 1 (Smoke Detectors Qty 1 Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can [ SSafety Inspection 1 !Panel Change IOH to UG
Other Fuse AC System
Permit becomes void if work does not commence within a six month period or wor 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.
Property Owners Name John Lipinski Phone Number 249 - 3926
Electrical Company American Electrical Contracting, Inc Office Phone 737- 7770_Fax 737 -1099
Co. Address: 5065 -3 St Augustine Road City Jacksonville
License Holder (Print): ''�-
....•��rl W Frick State Ce ati Registration # ER0015316
Comm be older. /,� . -- 2, _
4-4N,,, 1125 11 1 .‘.. p , t :` E xpires Sworn a nd subscribed befor his 16
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▪ :„ .� Assn..tnc • day of a 2012 ricia ' ' I "" Signature of Notary Public _ %� ./.t" I, _