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356 10TH ST - ELECTRIC 4*- ‘ CITY OF ATLANTIC BEACH et;::41‘),i;e1., 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -f-01119r` INSPECTION PHONE LINE 247-5814 ELECTRICAL RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ERES17-0187 Description: NEW SERVICE-300 AMPS, 240 VOLT, SINGLE PHASE Estimated Value: 0 Issue Date: 11/17/2017 Expiration Date: 5/16/2018 PROPERTY ADDRESS: Address: 356 10TH ST RE Number: 170043 0000 PROPERTY OWNER: Name: EZELIUS PER OLOF Address: 356 10TH ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: KNIGHT ELECTRIC LLC Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT JACKSONVILLE BEACH, FL 32250 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$7,500. • ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 _ Ph(904) 247-5826 Fax (904) 247-5845 Ise S ( 7-Q( 87 JOB ADDRESS: �j SI [044- 4T►2 - i 1 i l-kATLCACE( 1 FL 3Z2 ; PERMIT# • IINF+O R+MA I©N R+EQUIRE'D MGM PERMITS r/ AMPS `AU VOLM 1 IPPMT, LI VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground j>g-Underground up Pole ❑Residential (Main) Service 00-100 amps ❑101-150amps ❑151-200amps X 300 amps #of Meters t ❑Commercial(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi-Family(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters El Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ 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 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke 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 ❑OH 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. CEL Property Owners Name qatia._ GzEL ( CLS Phone Number 4.b -23 C - 188 Electrical Company VOL rei k-T E l-E—GT e C k (-GC Office Phone Fax Co.Address: '2)5 J 5 6 I 01.-1' _S-(--. P\Q. City State I Zip 3 2-2--- 3 U(Ai l0L'!-- License Holder(Print): " �t, (lel-- ..F L.i State Certification/Registration# Notarized Signature JLicens�.Holder ' ....� - +i' + Ye,;.. TON!GIt so,,R.a_n day of �►� 20 ,`s.2...`�. ° my coMM1SSICN v rr s24sa1 Before me this �Ae }. `;' EXPIRES.October G,201° �; ryPublic Undem;iter. Signature of Notary Public 1 ,..---- 1:-.-.:,.;_, $- ``$- 6cn--.___. Notary 5V`eA4oD4-0`C-4-0cAD rS \, CITY OF ATLANTIC BEACH • r -1-, 11 WNER/ BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED , CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR • TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS: THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. • IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. • V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ;c t (6 ' .7-C7 t FE i -TO ZS r -cid C. ADDRESS PHONE NUMBER PRINT NAME SIGNATURE DATE v. . Before me this 17 day of I j d Li 201 the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of 1:::: ,County of Ito— ID (—ID Personally Known Z4 Ca-74- -74_ /i Ci -34 3 L _ r l I7 Produced Identification- (p `•"( I "'�" J �..✓ Poo,-; T ONI GINDLESPERGEn -- -- MY COMMISSION r FF 924951 Nota Signature: �•, Notary 9 >' , EXPIRES:October 6,2019 i,; ;? t; Bonded Thru Notary Public Underwriters F:/BLDG/Owner-Builder Affidavit;REVISED:4/16/2009