347 10th St ERES18-0030 EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions tand terms of this fully assented Agreement&Release
Job Address: -5`Y--I- ,71
Permit No.
C— R
S5 19 — 003 O Service Type(Circle Ona):Overhes nderground
We,the undersigned General Contractor and Electrical Contractor,understand and agree:
by
and
1 substitute for FinalInspecfor tionsor the CIO(Certificate ot'O rscenp ay/ihared
must be issued bdfore ascupancy,
and as such is at the discretion of the Building Official.
2.The
City
yoo Atlantic
ortarh u Boor Approval,ll a special
pecs mg inspection
imeter base connections.theealy power energizing. All rough
p P
3.Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early
electric service. Such action is expressly prohibited and penalized by The City of Atlantic Beach
Ordinances.A violation of this Agreement shall result in a request for prompt removal of electric service
after a twenty-four hour notice.
4."EarTy Power"release authority is the Electrician and/or the Contractor and must not occur before:
a. Equipment,devices and fixtures are installed(or blanked off)safely.
b. . Panel is complete with breakers and cover,and(labeling required at final inspection).
C. Service connection and grounding is complete.
d. The electric system has safely passed through electrical check.
e. Meter can is permanently marked with address.
f.' Temporary address numbers displayed(Permanent numbers are required for C/O).
5.This fully completed form is to be submitted to the Building Department by hand,mail or fax.
6.Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRACTOR DATE�I I� I�
PRINT NAME
ELECTRICAL CONTRACTOR DATE 4
PRINT NAME M �h n �n .
Un le C /CC7L-
L r
-r - oJ
goo Seminole Road,Atlantic Beach FL 32233 Phone:(904)247-5926 Fax: as Lt7 _58 N
y�J1f
� r
`s f 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: ERES18-0030
Description: 400 AMPS 120/240 VOLTS 1 PHASE
Estimated Value: 20000
Issue Date: 1/29/2018
Expiration Date: 7/28/2018
PROPERTY ADDRESS:
Address: 347 10TH ST
RE Number: 170079 0200
PROPERTY OWNER:
Name: LAMAR DAVID CHARLES
Address: 345 10TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: UNITED ELECTRIC COMPANY OF
Address: 5716 ST AUGUSTINE RD JACKSONVILLE15716 ST.
AUGUSTINE ROAD
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$7,500.
ELECTRICAL PERMIT APPLICATION - a 5 3 3
CITY OF ATLANTIC BEACH .
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845. ec3—0030
JOB ADDRESS: 3 S 4 - PERMIT # -"S- M- 03
JEA INFORMATION REQUIRED ON ALL PERMITS 0 O AMPS Zy O VOLTS PHASE
-VALUE OF WORK$ a 0, 0 0 /7
NEW SERVICE ❑ Overhead ❑ Underground JZ�Underground up Pole
'Residential (Main) Service
00-100 amps ❑101-150amps ❑151-200amps LIC y 0 0 amps # of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
0-100 amps 0101-150amps ❑151-200amps 0 amps # of Unit Meters
ps O �4 fl 1
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150ampt 0200amps 0 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 0 Sign ❑Smoke Detectors_Qty ❑Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel 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 o a V , . 1- m a u re t o L a lvi a r Phone Number y 0 y' 13 S' 9 7 7 3
Electrical Company Un 1 Co Office Phone -731 - y Z/ O Fax-73J -573 IJ
Co.Address: 5-1 V �. u S 71'-,- city'-T k State Fl- Zip 322 0
License Holder(Print)' t (�ct /KPA State Certification/Registration# CC.13 00 53X U
�7
Notarized Signature of License Holder
'4' Sworn and subscribed before me this�_day of a� 20
IWENDA K.GPIFF11,
MY ComMISSION N FF107751 Signature of Notary Public
ExPIP.ES:April 23,2018