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1528 W Park Terr panel change permit 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: ERES17-0167 Description: 200 amps/240 volts/single-phase- panel change Estimated Value: 875 Issue Date: 10/31/2017 Expiration Date: 4/29/2018 PROPERTY ADDRESS: Address: 1528 W PARK TER RE Number: 1719390000 PROPERTYOWNER: Name: GHICTTO PHILIP M Address: 1528 PARK TER W ATLANTIC BEACH, FL 32233-5535 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: MICHAEL K LEGGETT INC Address: 11624 FT CAROLINE LAKES DR JACKSONVILLE, FL 32225 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$7,500. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: Pe —iermc.c, UJPL� PERMIT# i,,K JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 9 C) VOLTS I PHASE PALUEOFWORK$ NEW SERVICE 0 Overhead Underground E3 Underground up Pole OResidential(Main)Service Lj 0-100 amps -1101-1 50amps D 151-200amps E_amps 4 of Meters .Commercial(Main) Service i7 0-100 amps n101-150amps 151-200amps amps '�CT Service amps Conductor Type Size LIMulti-Farnily(Main)Service 1'0-100 amps L 101-1 50amps F,151-200amps amps of Unit Meters F Temporary Pole I- amps SERVICE UPGRADE _amps L CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) E,100amps 1-1150amps F,—amps I .CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Sw itches: 0-30amps —3 1-1 00amps 10 1-200amps Appliances: 0-30amps - 31-100amps 101-200amps A/C Circuits: —0-60amps 61-1 00amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ransformers KVA 7 Motors hp -i Swimming Pool 0 Sign 0 Smoke Detectors_Qty F T I =ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORK S REPAIRS/MISCELLANEOUS ,.1 Replace Bumt/Damaged Meter Can Safety Inspection >�Panel Change -170H 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 correcL 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 PhoneNumber Electrical Company OfficePhone 34.�svio Fax Co. Address: I I City- State zip Ccco LAC License Holder(Print): 9'-L"-k K.,ff c�riy State Certification/Registration# f--'C (3C Notarijej&,na rto in�nse Holder a .(u MCNI"I KnTEIN Sw I orn and subscribed before me this 13 day of LA- 20 U &M 2 2 0 CM168" 00 00305 Signature of Notary Public t-.j 11; U�6 K�kn My 0wo.IMM Am 27,2020 I PF". Softded 1kno%fteal Wlaary Atssn 0 ge-Emy, Cash Register Receipt Receipt Number City of Atlantic Beach R3327 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $94.00 ERES17-0167 Address: 1528 W PARK TER APN: 171939 0000 $94.00 ELECTRICAL $90.00 ELECTRICAL BASE FEE 455-0000-322-1000 $55.00 ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00 STATE DCA SURCHARGE 45500002080700 0 $2.00 TOTAL FEES PAID BY RECEIPT: R3327 $94.00 Date Paid:Tuesday, October 31, 2017 Paid By: MICHAEL K LEGGETT INC Cashier: LE Pay Method: CREDIT CARD 3194Z 0011% Printed:Tuesday,October 31,2017 12:36 PIVI 1 of 1 14, TRWT