1600 W Park Terr new elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ro) 9 INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0015
Description: 300 amps/240 volts/single-phase- new service
Estimated Value: 15000
Issue Date: 1/16/2018
Expiration Date: 7/15/2018
PROPERTY ADDRESS:
Address: 1600 W PARK TER
RE Number: 1719660000
PROPERTY OWNER:
Name: STREIT JILL A
Address: 1600 PARK TER W
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MUNSON & BRYAN ELECTRICAL CO.
Address: 3434 ST AUGUSTINE RD 3434 ST.AUGUSTINE RD
JACKSONVILLE, FL 32207
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$7,500.
dt
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
i 14.lPh(904)247-5826 Fax (904)247-5845 C)o I
JOB ADDRESS: V C�rkele' Ve6V'--' PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMI TS AMPS �%9 VOLTS PHASE
VALUEOFW0F,K$
NEW SERVICE F-1 Overhead [O/Underground D Underground up Pole
HResidential(Main)Service
00-100 amps Ll 101-150amps 0 1 51-200amps amps #of Metersj
FICommercial(Main)Service
Ho-100 amps 0101-150amps R 151-200amps --l_amps CJCT Service amps
Conductor Type___._ Size
1,[Multi-Family(Main)Service
VO-100 amps 1.1"1 1 50amps U I 51-200anips I amps #of Unit Meters
remporary Pole F1_ amps
SERVICE UPGRADE .1 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps LA50amps 11200ainps -]----arnps I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: —,------0-30amps 3 1-1 00amps 10 1-200ampi
Appliances: —31-100amps ----------
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits@ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS hp
: [SwimmingPool OSign []Smoke Detectors_Qty .-.Transformers- XVA E-Motors
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
HIReplace Burnt/Damagcd Meter Can 1'.Safety Inspection I 'Panel Change OOH to UG
110ther:
rennil becomes void if work does not-commence within a six month period or work is su.spendod or abandoned for six months. I hereby certify that I have
rcad this application and know the same to be true and correct. All provisionsof laws and ordinances governing this work will be complied with whether
specified or not. 7'he permit does not give authority to violate the provisions of any other stale or local law regulation constructionor the performanoe of
construction. Phone Number
property Owners Name
Office Phone Fax
Electrical Company �M 13
-IIS41( State fZ zip 3zZo7
Co. Address: 3Y,3� 9� 49ALb�, td city
Prin -S4,, 5c jr
LicenscHolder( t): St t ertificationJRegistration# 6-0 DO LAS
"C'3E�a C
lVotarized Signature of License]Volde4A��%J-'
K SwoZand subscribed before me thi Z- day of AC"uJ+ 20 Q
HEDRICK
KIRK L
ssio
wn FF 24490
!41` i COMMISS Signature of Notary Public
x'I'Z U
- - t
Expres July 7,2019
Cash Register Receipt Receipt Number
City of Atlantic Beach R3934
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $149.18
ERES18-0015 Address: 1600 W PARK TER APINI: 171966 0000 $149.18
ELECTRICAL $145.00
ELECTRICAL BASE FEE 455-0000-322-1�� 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 300 $90.00
STATE SURCHARGES $4.18
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.18
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R3934 $149.18
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
o1116/2018 11:45:42
CREDIT CARD
MC SALE
CARD# XXX)n=5142
INVOICE 0003
3EQ#: 0002
Batch#: 000715
Approval Code: 81333E
Entry lkthW: Maui
Mode: Onlirw
Tax kwt: $0,00
,ard Cc&:
SALE AMOUNT $149.18
CUSTOMER COPY
Date Paid: Tuesday, January 16, 2018
Paid By: MUNSON & BRYAN ELECTRICAL CO.
Cashier: CB
Pay Method: CREDIT CARD 81333e
Printed:Tuesday,January 16, 2018 11:47 AM 1 of 1