1648 Sea Oats Dr elec rewire panel change 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000764 Date 6/19/12
Property Address . . . . . . 1648 SEA OATS DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
rewire and panel change
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Owner Contractor
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CHITTY, JOHN H JR IMPULSE ELECTRIC
1648 SEA OATS DRIVE 4271 YVONNE TERRACE
ATLANTIC BEACH FL 322335836 MIDDLEBURG FL 32068
(904) 214-4225
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/16/12
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: 16 4b IG:E^ CA-X5 I>?, -j A"rLIV-q-te—' f L. -PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
vAL uE oF woRK$ bq 73 -'-:'
NEW SERVICE r-] Overhead Underground Underground up Pole
OResidential(Main) Service
110-100 amps 11101-150amps 11 151-200amps amps of Meters
0 Commercial(Main) Service
110-100 amps 0101-150amps El 151-200amps 0 amps OCT Service amps
Conductor Type Size
EMulti-Family(Main) Service
E10-100 amps El 10 1-I 50amps 11 151-200amps 11 amps of Unit Meters
OTemporary Pole O_amps
SERVICE UPGRADE 11 amps El CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps E1200amps O—amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
El Swimming Pool E Sign El Smoke Detectors_Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can OSafety Inspection Panel Change 11 OH to UG
510ther: cf:�
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.
Property Owners Name--JGSF FCj':V-teF, PhoneNumber -4-?-t
Electrical Company---L14PUL-IGE Wse Office Phone qC4—Z4-42ZSFax
Co.Address: -4?--l ( City tA tbPUG9 LkL- State f L- Zip -�Z04�8
License Holder (Print): State Certification/Registration EV,130�Z96T
Notarize i�yn ve- Un
d
M.-W, SHIRLEY L GRAHAM
my COMMISSION#DD 95778w( and subscribed before-m -this d 20
14T
yc
qn EXPIRES:Februm 14,2014
00nded Thru Notcry Public Unde=rs
of Notary Pub4ii�-"
DOC 9 2011 2,128415,
OR E3K 15975 page 1310.
fqumber Pages: I
Recorded 0621�'2012 at 01�07 PM,
JA4 FULLER CLERK CIRCUIT COURT DUVAL
NOTICE OF COMMENCEMENT COUNTY
RECORDING$10 00
Permit No.
Tax Folio No.
THE UNDERSIGNED hereby gives notice that improvements will be made!to certain real property,and in accordance with Section
0 1
713.13 of the Florida Statutes,the following information is Provided in this JqOTICE OF COMMENCEMENT.
3 q-jr, 0 5- Z S- Z f S,CY& k L,'-
1 00(
LDescription of property(legal dese I ,r Ir Ik
a)Street(job)Address: 14"4 Se,, Oe.Tj ArGIA71t— ,e4- a _-
2.General description of im me ts,
9 CY &ZE 6- C.1 rC 17 Lo.,-I r I A-1
3,Owner Information
<j
a)Name and address: .C4,77--j Ju 4,1 jq Jr.
b)Name and address of fee simpleYid6holder(if other than owner)!
C)Interest in property 0&,,oje.,-
4.Contractor Information
a)Name and address: T,^ vCS0 rl,,-T,;e 7
b)Telephone No.: Fr, Y,—A-2-f- Fax No.(Opt.)
5.Surety Information
a)Name and address:
b)Amount of Bond:
61ender c)Telephone No.: Fax No.(Opt.)
a)Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon 4iom notices or other documents may be sei:�ed-
a)Name and address:
b)Telephone No.: Fax No.(Opt.)_
8.1n addition to himself,owner designates the following person to receive a fopy of the Lienor's Notice as provided in Section
713.13(l)(b),Florida Statutes:
a)Name and address:
b) feleplione No.: Fax No.(Opt.)
9.Expiration date of Notice of Commencement(the expiration date is one fcar from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BYTHE OWNE I AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS NDER CHAPTER 713,PART[,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWIf"E FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OFCOMMENCEMENT MUST BE RECORDED AND PCSTED ON THE.1011 SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSU�T YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF CON MENCEMENT.
STATE,OF FLORIDA
COUNTYOF PINELLAS I O�X, 4r,
fowncrorown,�W ti yz ffif 'rcct Partner/Manager
Print N me
The foregoing instrument was acknowledged before me this /15 day of "cae— 20
by
j (type of authority,e.g.officer,trustee,
attorney in fact)for (name 0 1 f party on behalf of whoin instrument was cueuted).
Personally Known_OR Produced Identification Notary Sigi ature
Type of Identification Produced Name(prin ) t ", IL
OR
Verification pursuant to Section 92.525,Florida Statutes. Under penalties of erjury,I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief
LEN DA M-CAHT�ER S"igm re of N itural Person
i n-in gIR6 i(iinil fii!n�c 4 10.)
79
Commission#DD 8792702
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