1230 OCEAN BLVD ERES21-0124 Meter Can ReplacementOWNER:ADDRESS:CITY:STATE:ZIP:
ETTLINGER ELLIOTT
FARRELL 1230 OCEAN BLVD ATLANTIC BEACH FL 32233-5742
COMPANY:ADDRESS:CITY:STATE:ZIP:
PHASE ONE ELECTRIC LLC 2076 CORONA CT JACKSONVILLE FL 32224
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171821 0000 MANDALAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1230 OCEAN BLVD ELECTRICAL RESIDENTIAL METER CAN REPLACEMENT $6450.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: $94.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 5/20/2021
PERMIT NUMBER
ERES21-0124
ISSUED: 5/20/2021
EXPIRES: 11/16/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 5/20/2021
PERMIT NUMBER
ERES21-0124
ISSUED: 5/20/2021
EXPIRES: 11/16/2021
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
ERES21-0124 Address: 1230 OCEAN BLVD APN: 171821 0000 $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 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R15874 $94.00
Printed: Thursday, May 20, 2021 4:28 PM
Date Paid: Thursday, May 20, 2021
Paid By: PHASE ONE ELECTRIC LLC
Pay Method: CREDIT CARD 457802749
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R15874
t Electrical Permit Application ALL INFORMATION
S r,,:
HIGHLIGHTED IN
r 1!! City of Atlantic Beach Building Department GRAY IS REQUIRED.
Arr
800 Seminole Rd, Atlantic Beach, FL 32233
EI.R S Z_ t- 0( ZPhone: (904) 247-5826 Email: ..iiiull_ LJupt coab.us PERMIT#:
JOB ADDRESS: 1230 OCEAN BLVD PROJECT VALUE $$ 6,450.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 120 VOLTS 1 PHASE
ElNEW SERVICE: 0 Overhead Underground Underground up Pole
Residential(Main)Service:
00-100 amps [3101-150amps 0151-200amps 0 amps of Meters
Commercial (Main) Service:
0-100 amps 0101-150amps 0151-200amps amps OCT Service amps
Conductor Type Size
Multi-Family(Main) Service:
O-100 amps 0101-150amps 0151-200amps 0 amps of Unit Meters
TEMPORARY POLE: amps
0 SERVICE UPGRADE: 0 amps OCT Service amps
Il NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps DCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100a mps 101-200amps
Appliances: 0-3oamps 31-100amps 101-200amps
A/C Circuits: 0-6oamps 61-100amps
Heat Circuits:circuits @ kw
Number of Lighting Outlets, Including Fixtures:
r7 OTHER ELECTRICAL PROJECTS:
Swimming Pool DSign Smoke Detectors Qty) Transformers KVA ['Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can ['Safety Inspection Eanel Change OH to UG
Other: 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: MICHAEL LINCOLN Phone Number: (904)535-8798
Electrical Company: PHASE 0 NE ELECTRIC, LLC Office Phone: (904)232-8263 Fax:
Co.Address: 2036 MAYPORT ROAD City: JAX State: FL Zip: 32233
License Holder: MICHAEL LINCOLN State Certification/Registration#: EC#1003588
Notarized Signature of License Holder
T fo tst14#t v edged before me this Z -day of A 207 in th State of Florida,County of
YF.o , 'ONl GINDLESPERGER
MY COMMISSION#GG 353173 Signature of Notary PublicIV," I--
7:- .,,,--k.'EXPIRES:October 6,2023 i
o:F° funded Thru Notary Public Underwriters
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