522 PLAZA ELEC 2017 suLvr,,,
CITY OF ATLANTIC BEACH
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: ERES17-0040
Description: 15 OUTLETS/SWITCHES
Estimated Value: 0
Issue Date: 6/13/2017
Expiration Date: 12/10/2017
PROPERTY ADDRESS:
Address: 522 PLAZA
RE Number: 170703 0204
PROPERTY OWNER:
Name: KUDER DANIEL
Address: 522 PLAZA
ATLANTIC BEACH, FL 322334123
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FIRST CHOICE ELECTRIC INC
Address: 716 N VALLEY FORGE RD QA LAWRENCE DAVID THOMAS
NEPTUNE BEACH, FL 32266
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: S�?7_ 9(d PERMIT# QL0(�314 l
JEA INFORMATION REQUIRED ON ALL PERMITS 2<y0 AMPS ')q0. VOLTS �,_PHASE
VALUE OF WORK$ IIZco
NEW SERVICE ❑ Overhead ❑ Underground ❑!Underground up Pole
❑Residential(Main)Service
❑0-100 amps 0101-150amps 0151-200amps ❑ amps of Meters
❑Commercial(Main)Service
DO-1 00 amps ❑101-150amps ❑151-200amps ❑ amps DCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps D101-150amps 0151-200amps ❑ amps of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service_maps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100amps 0150amps 0200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUHA-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: LS�' 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits Q kw
Number of Lighting Outlets, Including Fixtures: Y2-
OTHER ELECTRICAL PROJECTS
❑Swimming Pool [] Sign []Smoke Detectors_Qty ❑Transformers EVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ 1,Ze><i
REPAHLSAUSCELLANEOUS
11 Replace Bumt/Dama(ged Meter Can ❑Safety Inspection ❑Panel Change ❑ HOto UG
❑Other: 1?e, ed tl
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 case and correct. All provisions oflaws 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.
PropertyOwnersName T) .„c IC �4. / Phone Number
Electrical Company G 2 cT C`1...i Z. ( r OfficePhone_7-.4\-133 ( Fax
Co.Address: -711,.-71�Fo ree Qd fJ City_ tAcp qS& State F-t Zip
License Holder(Print): Laverec o 1 Yww A's State Certification/Registration# E C-a61
Notarized Si rat r
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