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1889 Atlantic Beach Dr ERES24-0226 ApplicationElectrical Permit Application "ALL INFORMATION ' pp HIGHLIGHTED IN i City of Atlantic Beach Building Department GRAY IS REQUIRED. ' 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building -Dep c?Lqab.us PERMIT#: POOL24-0025 JOB ADDRESS: 1889 Atlantic Beach Drive PROJECT VALUE $ 1,800.00 JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE ❑ NEW SERVICE: _ Overhead Residential (Main) Service: -0-100 amps 401-150amps _Commercial (Main) Service: _0-100 amps -i101-150amps Conductor Type _,Multi -Family (Main) Service- ---0-100 amps 101-150amps ❑ TEMPORARY POLE: amps ❑ SERVICE UPGRADE: n amps Underground Underground up Pole 151-200amps amps # of Meters 151-200amps amps CT Service amps Size w 151-200amps amps # of Unit Meters CT Service amps ❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): -100 amps �150amps E 200amps amps - CT Service 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: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: © OTHER ELECTRICAL PROJECTS: gSwimming Pool Sign -.Smoke Detectors (Qty) Transformers KVA Motors HP ❑ FIRE ALARM SYSTEM (Requires 1 set of digital plans): Qty volts/amps REPAIRS/MISCELLANEOUS: .-iReplace Burnt/Damaged Meter Can - Safety Inspection ;Panel Change _:OH to UG -jOther: : pdvte; 10.121123 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 wil- be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulatlon construction or the performance of construction. Owner Name: Bannwart, Scott & Danielle Phone Number. 859-327-1610 Electrical Company: E3 Electric of NE FL. Inc. Office Phone: 904-880-0333 Co. Address: 9655 Florida Mining Blvd West Unit 310 City: Jacksonville License Halder: Notarized Signature of License Holder `t Tged before me this e_day of NK*LEJ.FASUK(fI= Signature of Notary Public Comrrlb" 0 HH 204W � IEvirmApl14.2= [�rsonally Known OR [ i Ifi( Type of identification: State Certification/Registration # Id State: FL Zip: 32257 EC13009249 the State of Flon5* County of &it:L�