2209 ALICIA LN ELECT PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
f CITY OF ATLANTIC BEACH ERES19-0054
800 SEMINOLE ROAD ISSUED: 2/14/2019
7_19' EXPIRES: 8/13/2019
ATLANTIC BEACH. FL 32233
MUST + LL INSPECTION • • • BY 4 PM FOR + INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • '
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.
JOBADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
2209 ALICIA LN ELECTRICAL RESIDENTIAL ELECTRIC - 10 FIXTURES $800.00
TYPE OF
• • GROUP:
169519 0705 TIFFANY BY THE SEA
COMPANY: ADDRESS:
Service of Knights LLC 415 N 4th Avenue Jacksonville Beach FL 32250
• ADDRESS:
JONATHAN AND SANDRA
FLASCHNER 2209 ALICIA LN ATLANTIC BEACH FL 32233-5979
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 • • •
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 10 $6.00
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: $65.00
Issued Date:2/14/2019 1 of 2
Electrical Permit Application "*ALL INFORMATION
�:1i1y
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 9 -OOS�'
Phone: (904) 247-5826 Email: Build ing-Deptecoab.us PERMIT#YE75 l9-000Z
JOB ADDRESS: 4 2 og PSA+ c< A (_ J PROJECT VALUE$ a-0,( ` y
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE
❑ NEW SERVICE: ❑Overhead ❑Underground []Underground up Pole
171esidential(Main)Service:
❑0-100 amps 0101-150amps [3151-200amps ❑_amps #of Meters
❑Commercial(Main)Service:
❑0-100 amps 0101-150amps 11151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
110-100amps 0101-150amps [1151-200amps []_amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps EXT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑1SOamps ❑200amps ❑_ amps ❑CT Service amps
❑ ADDITIONS,�*ENI OQE~LS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: -6 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: �J
OTHER ELECTRICAL PROJECTS:
❑Swimming Pool❑Sign []Smoke Detectors (Qty) ❑Transformers KVA []Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change []OH to UG
Updated 10/17/18
❑ether:
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:
an
Py:o�`�"R t N+�' i-! /ASCh N1�c Phone Number:
Electrical Com eiiJrGF DF t�tiichS
� � Office Phone: 9yy-33LI'9371; Fax:
Co.Address: .3z7 1,(,-t ,r Af City:. 4 , Bck State:FL Zip: 32'b'4)
License Holder: /9 9A)i h't State Certification/Registration#: 6W /301 S;'Zci
Notarized Signature of license Holder
The foregoing instrument was acknowledged before me thi h day of r-09 201��, in the State of Florida,County of v��L
Signature of Notary Public B��erL�-'� '� [ ' `l
MIt8i1.YICBIRS [-T Personally Known OR[ ] Produced Identification
MyCoLfAMMOMMMS Type of Identification:
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