1972 Beachside Ct ERES19-0001 meter can permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0001
ISSUED: 1/2/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 7/1/2019
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:
1972 BEACHSIDE CT ELECTRICAL RESIDENTIAL REPLACE METER CAN $1500.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1695420584 BEACHSIDE
COMPANY: ADDRESS: CITY: STATE: ZIP:
LIN'S ELECTRIC INC 3840 MAGILL ROAD JACKSONVILLE FL 32220
OWNER: ADDRESS: CITY: STATE: ZIP:
HAINES KENT M 1972 BEACHSIDE CT JACKSONVILLE FL 32233-5955
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $3S.00
ELECTRICAL BASE FEE 4SS-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: 1/2/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0001
800 SEMINOLE ROAD ISSUED: 1/2/2019
EXPIRES: 7/l/2019
ATLANTIC BEACH. FL 32233
Issued Date: 1/2/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department
GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
E 0 C:)o
Phone: (904) 247-5826 Email: Building-DeptPcoab.us PERMIT#:
JOB ADDRESS: 1972 Beachside Court PROJECT VALUE$$ 1,500.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS I PHASE
NEW SERVICE: 11 Overhead ClUnderground ClUnderground up Pole
Mesidential(Main)Service:
E10-100 amps D101-150amps [3151-200amps 17—amps #of Meters
DCornmercial (Main)Service:
E10-100 amps 0101-150amps 11151-200amps 0 amps []CT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
00-100 amps E1101-150amps [1151-200amps 0 amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: El --amps OCT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
17100amps C]150amps []200amps El—amps EICTService 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: 0-60amp5 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
F—IOTHER ELECTRICAL PROJECTS:
[]Swimming Pool F]Sign L]Smoke Detectors (Qty) OTransformers KVA []Motors HP
F–] FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
F,/] REPAIRS/MISCELLANEOUS:
[Z]Replace Burnt/Damaged Meter Can []Safety Inspection [3Panel Change E]OH to UG
[3]Ither: Updated 10/17118
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: Kent Haines Phone Number: (904)386-1742
Electrical Company: Lin's Electric,Inc. Office Phone: (904)868-6556 Fax:
Co.Address: 3840 Magill Road City: Jacksonville State: Fl Zip: 32220
License Holder: Vi.rail L. Rhoden, Jr. State Certification/Registration#. EC13007419
Notarized 5ignature of License Holder
The foregoing instrument was arknnvvled 3ed before me this 2nd day of Janua
...... D rY 20 19. in thretate of Florida,County of Duval
LESLIE L.SMITH
Signature of Notary Pubi JAJIU�677
My COMMISSION#GG006760 ic
EXPIRES 26,2021 [x] Personally Known OR Produced Identification
V ..0
Type of Identification:
Cash Register Receipt Receipt Number
City of Atlantic Beach R7745
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $94.00
ERES19-0001 Address: 1972 BEACHSIDE CT APN: 169542 0584 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE L 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R7745 $94.00
REPRINT
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
01/02/2019 16:40:47
CREDIT CARD
VISA SALE
Card# XWXXXXXXXX2471
SEQ;: a
Batch#: 952
INVOICE 10
Approval Code: 051366
Enty Method: Manual
Mode: Online
Tax Amount X00
Card Code: M
SkE AMOUNT $�'00
CUSTOMER COPY
Date Paid: Wednesday,January 02, 2019
Paid By: LIN'S ELECTRIC INC
Cashier: CB
Pay Method: CREDIT CARD 51366
010
Printed:Wednesday,January 02, 2019 4:42 PM 1 of 1