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340 10TH ST - ELECTRIC SAFETY
LAI.Prjel Oir st. CITY OF ATLANTIC BEACH r� 800 SEMINOLE ROAD 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: ERES17-0015 Description: 150 amps/240 volts/single phase-safety inspection Estimated Value: 200 Issue Date: 5/11/2017 Expiration Date: 11/7/2017 PROPERTY ADDRESS: Address: 340 10TH ST RE Number: 170038 0010 PROPERTY OWNER: Name: Highlink LLC Address: 4745 Sutton Park Court#601 Jacksonville, FL 32224 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Parker Electric, LLC Address: 2175 Kingsley Avenue Suite 315 Orange Park, FL 32073 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. * 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. rf.L`J j,. fa Cash Register Receipt Receipt Number r� City of Atlantic Beach R1530 A.0.1:). DESCRIPTION I ACCOUNT QTY I PAID PermitTRAK $109.00 ERES17-0015 Address: 340 10TH ST APN: 170038 0010 $109.00 ELECTRICAL $105.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 SAFETY INSPECTION 455-0000-322-1000 0 $50.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0700 0 $2.00 TOTAL FEES PAID BY RECEIPT: R1530 $109.00 • LIP 0 X51 5 0 el/ . _../ .•" \i'.‘ ai c_...K L./ i (0 - \ti_Je koti v ip v \ 4° (sli IL. Date Paid:Thursday, May 11, 2017 Paid By: Parker Electric, LLC Cashier: CT Pay Method: CREDIT CARD 05224G i� Printed:Thursday, May 11,2017 12:25 PM 1 of 1 M txwcr ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH U 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-5826 Fax (904)247-5845 C.RE.S I '] - 0 t 1 T .TOB ADDRESS: Syn I oTti cT PERMIT# SEA INFORMATION REQUIRED ON ALL PERMITS 7CC AMPS Z' C VOLTS / PHASE VALUE OF WORK$ / e0. a0 NEW SERVICE ❑ Overhead n Underground UT Underground up Pole ❑Residential(Main)Service 00-100 amps ❑101-150amps 0151-200amps 0 amps #of Meters ❑Commercial(Main)Service • 00-100 amps ❑101-150amps 0 151-200amps 0 amps OCT S amps Conductor Type Size �� ❑Multi-Family(Main)Service 00-100 amps ❑101-150amps 0151-200amps ❑ tps f U# '6� ❑Temporary Pole 0 amps 1, 11 (, SERVICE UPGRADE 0 amps 0 CT Service . .. ; —40, NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ET . -----') ❑100 amps O 150amps 0200amps 0 a : OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,A• ESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31- 00amps 1-2 mps Appliances: 0-30amps 31 100amps - A/C Circuits: 0-60amps 61 100amps Heat Circuits: # circuits @ k �if',`",( Number of Lighting Outlets, Including Fixtures: 0.-e-0 J© e_� L h G. C�DWt. OTHER ELECTRICAL PROJECTS 0 Swimming Pool 0 Sign 0 Smoke Detectors Qty 0 , sformers KVA I iviotors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALU s - : ' REPAIRS/MISCELLANEOUS OReplace Burnt/Damaged M; er Can fitgafety Inspect'• OPanel 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. 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 POL.4(`"l CC o... B M t r h Phone Number Electrical Company r i s . 1 otif Office Phone kf3 -2 tar FaxJs J-2tor Co.Address: /531 Si¢rt«A2y/ WAS/ S • City JA.r 4 t:Rc i4r- State Zip 322 rG License Holder(Print): J/JCoI7 JJI.L.a/R t 10 State Certification/Registration#Ec 13 Go 14/4 f- Notarized S'- ------ 1 older ,� OEBORAN • / /�,.� 191513 20 < / ;:?7.0;;;: MY COMMISSION#FF \ :efo' e me this a •f e ' %:;,!-.).4- Bonded TM""°`a"Pte. Signature of Notary Publ. /, A c'