539 Atlantic Beach Ct new elec permit EARLY POWER AGREEMENT &RELEASE
" CITY OF ATLANTIC BEACH
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Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address: '� 1 CI
Permit No- FRES,- 143—cb Service Type(Circle One): Overhead Underground
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power' is urely for our construction convenience, it is n r required by Codes and does Me
substitute for Final Inspections or the CIO(Cardfifi�are of OccupancyjtPfiat most be issued bifore occupancy,
and as such is at the discretion of the Buildmg Okal,
2. The City of Atlantic Beach will make a special inspection prior to the early pourer energizing. All rough
mspe umc,must have prior Approval,including meter base counechom,
3. Occupancy or use of the new construction before a formal CIO w timtes fraudulent use of the early
electricrnces iA violation of ithis Agreement shall iresulltt in and
if r promptremovalremoval of elecbtic sBrvice
after a twenty-four hour notice.
4. "Early Power'release authority is the Electrician and/or the Convector and must not occur before:
a. Equi mrnt,devices and fixtures ere installed(or blanked oft)safely.
b. Panel is complete with breakers and cover and(labeling required at final inspection).
c. Service connection and grounding is comp5ete.
e. Meier electric system
gpe menen ft mlayrl edwinadddrees'ecvical check.
f. Temporary address num ersdisplay (Permanent numbers are required for CIO).
5. This fully completed form is to be submitted to the Building Department by hand,mail or fax
6. Future such Agreements will net be accepted from those who violate anyone of the above items.
CONTRACTOR ` DATE Q/EO Z 2-10.
PRINTNAME
ELECTRICIAN DATE 9 1 Q j.Z01$ k
PRINTNAME le
800 Seminole Road,Atlantic Beach FL 32233 j
Phone:(904)247-5826 Fax:(904)247-5845 http:Uwww,coab.us revised 01 30 09 E{
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CITY OF ATLANTIC BEACH
} 800 SEMINOLE ROAD
v� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0086
Description: NEW SERVICE ELECTRIC
Estimated Value: 0
Issue Date: 3/15/2018
Expiration Date: 9/11/2018
PROPERTY ADDRESS:
Address: 539 ATLANTIC BEACH CT
RE Number: 169505 1425
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 1227 SAN JOSE BLVD STE 120
JACKSONVILLE, FL 32223
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 E� R&S(8~6 0 p w
,TOB ADDRESS: 5391 441-,,ti C*' PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 300 AMPS Z`(O VOLTS PHASE
VALUE OF WORK$ ly OUO• U 0
NEW SERVICE ❑ Overhead [Underground ❑1 Underground up Pole
El Residential(Main)Service
110-100 amps ❑101-150amps ❑151-200amps -!1' 300 amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps Fj amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps 0C Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: /Z1 0-30amps 31-100amps 101-200amps
Appliances: L 0-30amps 31-100amps 101-200amps
A/C Circuits: Z 0-60amps 61-100amps
Heat Circuits: z # circuits @_J�kw
Number of Lighting Outlets, Including Fixtures: 7)/
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign woke Detectors & Qty ❑Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
❑Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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.
Property Owners Nameyy�si� � ' � Phone Number
Electrical Company /H,L/)OAI jd 06e c.n2i Office Phone ;f.-911Z,?—Fax
Co.Address: J?z w. 'Z',- ':51 ' City Jpd?e State 1�7- Zip 3�Z�
License Holder(Print): Ig State Certification/Registration#
Notarized Signature of License Holder
�iS P.,1. 1 U'•' y Sworn subscribed before me this r, day of 201
r r) Notary Public-State of Florida _
e; Commission # FF 9439C5 Signature of Notary Public
My Comm.Expires Dec 15,2019
%° Bonded through National Notary Assn.