940 Orchid St Permit and receipt 1�
CITY OF ATLANTIC BEACH
ss,
r' 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: ERES18-0054
Description: 200 amps/240 volts/single-phase -change breaker for HVAC
Estimated Value: 125
Issue Date: 2/22/2018
Expiration Date: 8/21/2018
PROPERTY ADDRESS:
Address: 940 ORCHID ST
RE Number: 170947 0500
PROPERTY OWNER:
Name: AARONIAN RAY
Address: 208 S MILL RIDGE TRL
PONTE VEDRA BEACH, FL 32082-5113
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: EMPIRE ELECTRIC INC
Address: 6999-2 Merrill RD#351
JACKSONVILLE, FL 32277
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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.
IELECTRICAL. PER�LIT APPLICATION
CITE•OF ATLk\TIC BEACH
800 Seminole Rd- Atlantic Beach. FL 32233 `
Ph tQCUi 'M7_iR26 Fax(9041 747-`84_5
JOB ADDRESS: G � �`� _�1 S� t'C�-�-► PER-'%ffT#
JEA L\FORNLATION REQUIRED ON ALL PER�IITSo_A_NiPS —='.1—VOLTS PHASE
VALUE OF R OR%S i `J. IC 0 _ 1
NEw'SERVICE ❑ Overhead Elu
Underground ❑ Undergrod ■p Pole
Residential(Main)Service
-0-100 amps -101-150amps =151 200amps - amps of Mem
-Commercial(linin)Semice
-0-100 amps -101-150amps -151-200amps -______amps -CT Servix amps
Conductor T}-pe Size
=Multi-Family-(Main)Service
-0-100 amps -101-150amps =151 200amps ---amps ;P of Unit Meters
-Temporary Pole - amps
SERVICE UPGRADE -------amps - CT Service amps
NEWFEEDER(.ADDITIONS,ACCESSORY STRUCTTRES,ETC.)
-100 amps -150amps -200amps _ amps _CC Ser%ice amps
ADDITIONS,REMODELS,REPA S,BLTLD-OLTS,ACCESSORY STRUCTURES,ETC.
Outlets'S%itches: 0-30amps 31-100amps 101 00amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: 9 circuits a kw•
Number of Lighting Outlets, Including FLxtures:
OTHER ELECTRICAL PROJECTS
-S%imming Pool - Sign -Smoke Detectors Qty -Transformers KVA -Motors hp
ME ALARM SYSTEM (Regnires 3 sets of plass)
Qty volts amps VAL LE OF WORK S
REPAIR.S/lffSCELLA_'NEOU S
_.Replace Burnt"Damaged deter Can -Safety Inspect2on _Panel Chance -0H m L'G
Other:Che n eex,<6"5 �r Y✓,C- �b t,ese 5�5'"2�n �'r�,�-�1J
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read this apQlicaLioo and know-the same to be mw and cmem All pwiisiow of laws and ordfima m ememim this%wk wtu tv .►:Lh r.�a
spwficd or mt The pa=docs aot gn a staborin to%iola[e the prvtiiWM of an)other staoc or tical law reguis cn CMSw.&'0M cc the pa*cManae of
coasvuction. -
Property Owners Dame �c PT) ` 4 Phone Number V1 ' 2 ! --
Electrical Company C�t' 1 YG .)U_ 1Q, JW t Office Phone
1)"
Fax
tflCo.Address: } Zip
License Holder(Print): \ Ge t' S�cationRecistration ! .
Votarked Si atur -ireezvo Mn
t> 7z WA"93UWG Won.and subscribed before the this day-of 20 3 s
MV�ns w 3r '--t— o. 'gnature of Notary Public
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Cash Register Receipt Receipt Number
r '
City of Atlantic Beach I
ESCRIPTION ACCOUNTCITY PAID
PermitTRAK $94.00
ERES18-0054 Address: 940 ORCHID ST APN: 170947 0500 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $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
TOTALR4320 $94.00
Date Paid:Thursday, February 22, 2018
Paid By: EMPIRE ELECTRIC INC
Cashier: CB
Pay Method: CREDIT CARD 082411
00,
Printed:Thursday, February 22,2018 12:36 PM 1 of 1
1 WT