1618 Atlantic Beach Dr ERES19-0237 3 Outlets �S��Jr�"• ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH
ERES19-0237
800 SEMINOLE ROAD ISSUED: 8/13/2019
Ji31�r ATLANTIC BEACH. FL 32233 EXPIRES: 2/9/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF i ' + BUILDING
• ' + • ATLANTIC BEACH • • 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK:
1618 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL 3 OUTLETS $400.00
TYPE OF
• • GROUP:
169505 1125 ATLANTIC BEACH
COUNTRY CLUB UNIT 01
COMPANY: ADDRESS:
BEACHES ELECTRIC 214 COKESBURY CT GREEN COVE FL 32043
SERVICES INC. SPRINGS
• ADDRESS:
LANIER MICHAEL W & 1618 ATLANTIC BEACH JACI<SONVILLE FL 32223
LINDA
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 4S5-0000-322-1000 3
ELECTRICAL BASE FEE 4S5-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:8/13/2019 1 of 2
r�.�.•r; Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS' 1618 Atlantic Beach Dr. PROJECT VALUE$$400.00
IEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
❑NEW SERVICE: ❑Overhead ❑Underground []Underground up Pole
Mesidential(Main)Service:
❑0-100 amps 11101-150amps r3151-200amps [ _amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps 0101-150amps 11151-200amps ❑ amps [_)CT Service amps
Conductor Type Size
E3Multi-Family(Main)Service:
❑0-100 amps [3101-150amps [1151-200amps [3-amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps OCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps OCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches:3 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:
❑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
✓❑)ther:Add 3 weatherproof outlets from the existing Updated 10/17/18
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: Linear Michael Phone Number: (904)731-6460
Electrical Company: Beaches Electrical Service Inc. Office Phone: c9D4i629-3182 Fax:
Co.Address: 214 Cokesbury Ct. City; Green Cove Springs, State: FL Zip: 32043
License Holder: Todd Lockwood Certification/Registration#: ER0013172
Notarized Signature of License Holder v
The foregoing instrument was acknowledged befo a is ay o the S f lorida,County o 1
My TONI DLE # 92
R R Si Lure of Notary Public
... :
EXPIRES:October 6,2019 [ ] personally Known OR[ ] Produced Identification
Y'P�'
Bonded ThruNotary Public Underwiters Type of Identification: