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2223 ALICIA LN - ELEC i 1LANr � s z� _ \ CITY OF ATLANTIC BEACH A s) 800 SEMINOLE ROAD 7. t.;,.. ATLANTIC BEACH,FL 32233 F INSPECTION PHONE LINE 247-5814 �J ~ ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION:247-5814 JOB INFORMATION: Job ID: 15-ELEC-1861 Job Type: ELECTRIC ONLY Description: ELECTRIC-ADD 2 CIRCUITS AND 1PV SOLAR SYSTEM Estimated Value: Issue Date: 8/3/2015 Expiration Date: 1/30/2016 PROPERTY ADDRESS: Address: 2223 ALICIA LN RE Number: 169519-0775 PROPERTY OWNER: Name: LIPINSKI JR,JOHN&DOROTHY, Address: 2223 ALICIA LN GENERAL CONTRACTOR INFORMATION: Name: BEACON ELECTRICAL CONTRACTORS Address: 1428 CRYSTAL SAND DR SHAWN HEATH Phone: -- FEES: State Elec DBPR Surcharge $2 00 State Elec DCA Surcharge $2 00 Electrical Repairs $35 00 Trade Permit Base Fee $55 00 Total Payments: $94 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WMI ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA BUILDING CODES II i FLEt'TRICAI.PERMIT APPLICATION CITY OF ATLANTIC BEACH (6(c' ( XIX)Seminole Rd,Atlantic Beach,FL 32233 ' 5- ELL EL_ Ph(904)_24"-5826 Fax(904)247-5845 JOB AIMRi ss: 22Q3 _. A\ .,_ ,... l.a..t_ PERMIT# 1S--A Pug 7 JF.A INFORMATION REQUIRED ON ALL PERM PHASE VALUE OF WORK S \kN SERVICE. Li Oserbead Underground QI Underground up Pole Residential l\1ain1 Service n.I ill amps ! ,il5tiaiiips 15 1-200atn (lnnuta'rciaf(%lain)'er'Ice P .amps u of Meter,- I. ;lur:unp• it.i.1Coamp. s IS)-200am ( utduclin I yp.. Size p amps ("f Service__ amps %lulti-Family(Main)Service r r-i t i l l;1 1 1 1 1„ 1 I I I I'0antps 151-200amps _____ amps 4 of lima Meters fetnporan Pole .1mps SERVICE l P(;R.U)F• amps CT Service ___ .amps \EN FEEDER(ADDITIONS,:t('('F.SSORV STRUCTURES,ETC.) WO amp. 150amps 2(0amps _ amps CT Service- - amps IDDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Uutlets,Switches- _I 0-30amps _ 31-100amps 101-200am s Appliances. i 0-30amps _ 3I-I00am s p .% C Circuits 11- P 101-200amps 60:unPs __ _ __ b I-I O(lamps Heat Circuits. u circuits■a kw Number in I Ighttng Outlets. Including Fixtures O fHER ELECTRICAL.PROJECTS Swimming Pool Sign Smoke Detectors . Qty. Transti,rmers KVA -•_-- Motors hp F INF %LARM S's S'I EM (Require.3 sets of plans) V■ stills amp. VALUE OF WORKS REPAIRS/MIs(I;l LANEOI.S Replace Burnt.Damaged\lcter t'an Safety Inspection Panel Change OH to UG A)hee P ._...- ..._. P _ s111 :. ._ . fit otreiceS req„«0. :Hilt hctornos wrid if work doe.not commence within a six month period or work is sus cad this a, hcatitn.aid know the saruc Io speruta)or abandoned fthis work nn 1 P be true and.urtxx�t .All pro,tstuns of laws and urdinlmcc.gosmung this worrA ..li.or complied'awl..none, ;n:cifed or not the pennon does not 1psc authorin to,101410:the pros looms(Warty other state or local law regulation construction or the pertbmlartcc of ..n.tr7K11011 rroperty Owners Name "Vole,” Ma il,,e Y 1-14,1+314.: Phone Number .lectncal('ntiipan, _ t' -fir._.\ C.w r4r.,,1,.ra Office Phone 35r-S3eia{ Fax 0.Address: %ygy -y s1-.■ 5.,,, D.- City Ti►x State Ft. Zip 3aa tY (cense llulder (Print): rj w,n U....iik T State Certification/Registration u E4134/1 Vs, % ■r4ti6,InuJrgr filmier `�� WI MY cOOMISS,ON a MAelefklore me this EXPIRES wooer 25.2o113 t day of J 20 15 ..or,nao'a3 `bi.Now""""°` Vignature of Notary Public 4 r+)�' lV•�� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Jr RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-1706 Job Type: RESIDENTIAL ALTERATION Description: roof solar system Estimated Value: $8,700.00 Issue Date: 7/20/2015 Expiration Date: 1/16/2016 PROPERTY ADDRESS: Address: 2223 ALICIA LN RE Number: 169519-0775 PROPERTY OWNER: Name: LIPINSKI JR.JOHN&DOROTHY, Address: 2223 ALICIA LN PERMIT INFORMATION: - FEES: PLAN CHECK FEES $46.75 BUILDING PERMIT FEE $93.50 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $144.25 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL('Ill'OF AII.ANTI('BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION Fier �O " CITY OF ATLANTIC BEACH " i 800 Seminole Road,Atlantic Beach,FL 32233 i1 _ 1 Office(904)247-5826 Fax(904)247-5845 A71/1f- Job Address: 2223 Alicia Lane.Atlantic Beach,FL 32233 Permit Number: /5 /766. Legal Description 46-94 09-2S-29E Tiffany By The Sea Parcel# 169519-0775 floor Area of Sq.ft. Sq.l•t Valuation of Work$ 8700.00 Proposed Work heated/cooled 4300 non-heated/cooled 1500 1 Class of Work(circle one): New Addition Alteration Re Move Demolition pooVspa window/door Use of existing/proposed structures)(circle one): Commercial ( esiden41a If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 7A2 Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be perf ned: See Attached Sheet 11 Ale. srE-74 , � 1:' JUG Property Owner Information: Name: John Lipinski Address: 2223 Alicia Lane — - City Atlantic Beach State FL Zip 32233 Phone 904'247-1204 0�— E-Mail or Fax#(Optional) Contractor Information: Company Name: Solar Energy Labs,Inc Qualifying Agent: Michael D.Newman Address:5191 Shawland Rd. City Jacksonville State FL Zip 32254 Office Phone 904-693-4555 Job Site/Contact Number 904-424-0180 Fax# 904.693-6999 State Certification/Registration# CVC56672 Architect Name&Phone# Roger Russell 904-223-3701 Engineer's Name&Phone# Roger Russell 904-223-3701 Fee Simple Title Holder Name and Address John&Dorothy Lipinski 2223 Atlantic RParh Fl 19913 Bonding Company Name and Address None Mortgage Lender Name and Address None Application is hereby made to obtain a permit to do the work and installations as indicated i certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void of work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical;Fork. Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters. Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. i hereby certify that I have read and examined this lication and know the same to be true and correct. .111 provisions of laws a ordinances governing this - type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give a , ti to violate or cancel the provisions of any other federal.state,or local kne regulatin construction or the performance of construction. A_Signature of Owner „....94-7 ,i„ Signature of Contractor �'!► / a. Print Name Jo ipins Print Name 7 Michael 0.Newman Sworn to and subseri••i before me /f Sworn to and subscrib • be ore me this /�Da of ._ this /t Day of ' •20/} �� --sour)Pub,c Stine o cods �� _.JB[ 11��f.�O6tiC • or aNDyA a—to glow `(7�poor �j d My CarrnUien FF 185348 ! (�0 . 't/oe s al" E404“01839/2019 '1 ,,,j fit..a;ieirtteto 1 ELECTRICAL PERMIT APPLICATION ' CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 n Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: cA d,2 J Cl 1.0] G Lc,-f a PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead n Underground nI Underground up Pole Residential (Main) Service 0-100 amps _:101-150amps ❑151-200amps amps #of Meters !Commercial(Main)Service 0-100 amps ! 101-150amps 0151-200amps 11 amps CT Service amps Conductor Type Size !Multi-Family(Main)Service .0-100 amps Li 101-150amps 151-200amps I_1 amps #of Unit Meters -_Temporary Pole ❑ amps SERVICE UPGRADE amps • CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps C'150amps 1200amps ! amps [:CT 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 i 1Swimming Pool Sign liSmoke Detectors LIZ Qty ! !Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS O Replace Burnt/Damaged Meter Can _1 Safety Inspection !Panel Change !OH to UG ( ther: ///MI4j. , 9tfe /2 /O4/25 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 -ead 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 ;onstruction. ?roperty Owners Name -3- n Li pi n S l Phon Number CS— q S 3lectrical Company I ( act,ea I 40 e Phone 24 -- q OS Fax o. Address: U City A+Li 1- IC .St FAip JC.Zs License Holder (Print): Pt 1tiK. Cr, ,(,..J a..( State Certification/RegistratEG13002296 Votariz• • • t • " e .' ' ',` (�;, • ,•,r I Notary Public State d — Barbara Kaye Kennelly MY canmlan eE ssas3Bef• .- me this ' • da ; 20 :4:44 or ao- Expires 03/17/2017 ` ir .ture of Notary Public` �C C.L 4c iu - ' LL—elj