2207 Alicia ERES18-0325 Cash Register Receipt Receipt Number
19 City of Atlantic Beach R6958
DESCRIPTION ACCOUNT F-QTY
PermitTRAK $59.60
ERES18-0325 Address:2207 ALICIA LN APN: 169519 0735 $59.60
EUECTR AL $55.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 =$55.00
$0
ELEC LIGHTING OUTLETS,IN XUDIN6 455-0000-322-1000 1 $0.60
FIXTURES
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 1 455 0000-208 0700 0 $2�00
STATE DCA SURCHARGE 1 455-0000-208-0600 1 0 $200
TOTAL FEES PAID BY RECEIPT: R6958 $59.60
Date Paid: Monday, October 08, 2018
Paid By: LIN'S ELECTRIC INC
Cashier: CB
Pay Method: CREDIT CARD 22925
Printed:Monday,October 08,2018 3:06 PM 10fl
COAB Pennit Form with Conditions Page I of 2
Enter Pernnit Number
14 4 =of I p pri 4. F,.d I N-1 (.0 i A
ELECTRICAL RESIDENTIAL PERMIT PERMITNUMBER
ERES19-0325
CITY OF ATLANTIC BEACH ISSUED:10/8/2018
800 SEMINOLE ROAD EXPIRES:4/6/2019
ATLANTIC BEACH,Fl.32233
MUST CALL INSPECTION PHONE LINE (904)247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT ISTH EDITION (2017)OF THE FLORIDA BUILDING
CODE,NEC, IPIVIC,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 them may be additional permits required from other
xovefnmental entities such as water management districts,state azencies,or federal agiencies.
108 ADDRESS: PERMIT TYPE:
2207 ALICIA LN ELECTRICAL RESIDENTIAL $1200.00
TYPE OF REALIESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION, NUMBER: GROUP,
1695190735 TIFFANY UY THE SEA
COMPANY: ADDRESS:
LIN'S ELECTRIC INC 3840 MAGILL ROAD JACKSONVILLE Ft 32270
OWNER: ADDRESS;
JOHNSTON DAVID L 2207 ALICIA LN ATLANTIC BEACH FIL 32233-5915
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.
USTOFCONDITIONS
ff� is
list Ctmc.l..�
ro. ht-of-.aV.
poll off coretainer company must be on city apprwed!Ilst. Cwtalner cannot be pi ..d on CRY right of way
I -
FEES
DESCRIPTION ACODUNT QMWITY PAID AMOUNT
E�ECUG"NGWTFE�JNCLUMGF�RB� Sow
$ss.w
ReCTAICALWEme 0 $2.
crA!ED6PRWKRARGE 45�208-a. 0 $2..
srAre�WKHMGE 4S5.-2N-mo0 TOTAL,$"
http://atlanticbeach.trakit.net/t-a�dtfDocumentViewer.aspx?&report--/DocumentsfPERMIT... 10/8/2018
COAB Pennit Fom with Conditions Page 2 of 2
10"
mued Date:10/g/2018
http://atlanticbeach.trakit.net/tmkit/DocumcntViewer.wpx?&report--/Documents/PERMT... 10/8/2018
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beech,FL 32233 tCSJ &10�)2_�
Ph(904)247-5826 Fa�(904)247-5845
JOB ADDRESS: 2207 Alicia Lane Atlantic Beach, FI 32233 —PERMIT r7r-E51Y_
JEA INFORMATION REQUIRED ON ALL PERMITS —�O—OAMPS —VOLTS —PEASE
VALUEOFwORKs 1200.00
NEW SERVICE El Overhead Underground D Underground sip Pole
Residential(Main)Service
�10-100 amps [I 101-ISOMPS 15 1-200acips .11_=Ps of Meters
:Commercial(Main)Service
:10-100 amps 11101-150amps 11151-200amps r 1_______amps CTServim_amps;
Conductor Type_ Sim
Multi-Family(Main)Service
'o-100araps 11101-150amps 1151-200asups _Mps #of Unit Meters
[Temporary Pole I]
,------;Hnps
SERVICE UPGRADE �i_____amps I� CT Service—amps
NEW FjgFDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
:100amps � 1150amps 11200amps I _____amPS i ICT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: —0-30amps 31-100amps 101-200mps
Appliances: _0_30amps 31-100amps 101-200asups
A/C Circuits: —0-60arrips 61-100amps
Heat Circuits: #circuits @ ka,
Number of Lighting Outlets,Including fb�Nv. I -vanity (4)puck lights
OTHER ELECTRICAL PROJECTS
ISwimmingPool [] Sip t!Smoke Detectors—Qty IlTraressfurrum KvA imotcurs_hp
FIRE ALARM SYSTEM (Requires 3 sets of Plams)
Qty—voltstamps— VALUE OF WORKS 1200.00
REPAIRSMSCELLANEOUS
�!Replace Burnt/Damaged Meter Can 1 Safety Inspection [.Panel Change 11011wUG
LiOther: Bathroom remodel
a per, ban si fit ereby ertilythat I b.
Nressit becarres void if work does., aesiones,widsio a si.moves pined or work i ses &d or a doned for x nion s. I h C
read this applicatim and know die serve to be trive and correct. All previsions of laws and ordboasce,goveming this work will be cornplied with wticther
specified or not no perrift does not give authority to violate the proviviae,of my otha ,,tu or trial law agaiation eaostassion or the peforessawC of
coostosedon.
Peop,,tyOwoersName DaviclJohniston phone Number 904-612-9939
Electrical Company Lin's Electric, Inc. Office Phone _
_20"68-6586 Fax_
Co.Address: 3840 Magill Road City Jacksonville State FI Zip 32220
Liman Holder(Print): Virgil L Rhoden.Jr State Certifimtion/Registradon# EC13007419
Notarized Signature ofLiceme Holder
L wom and subscribe ON To this 2nd of bar 20 18
d befo
ignature of Notary Publi I A
EXPIFIES Apd N.2021