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275 First St meter can permit r S 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: ERES18-0079 Description: 200 amps/240 volts/single-phase- replace meter can Estimated Value: 1100 Issue Date: 3/12/2018 Expiration Date: 9/8/2018 PROPERTY ADDRESS: Address: 275 FIRST ST RE Number: 172539 0000 PROPERTY OWNER: Name: Keith & Susan Charpentier Address: 233 Pine Street Neptune Beach, FL 32266 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: DAVID GRAY ELECTRICAL SERVICES INC Address: 6491 Powers AVE STE 1 JACKSONVILLE, FL 32217 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. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 C� 'n/ Ph(904)24477-5826 Fax (904) 247-58/45 1,,�� b2-C-S JOB ADDRESS: p` �� /1 T (0.w�t C. -e (�C - 1 PERMIT# u 32Z_33 JEA INFORMATION REQUIRED ON ALL PERMITS c AMPS Z`f 0 VOLTS PHASE ��/ VALUE OF WORKS 1 o O NEW SERVICE L✓1 Overhead ❑ Underground ❑J Underground up Pole Residential(Main)Seryjc6' �/ �^ 00-100 amps ❑✓1101-150amps 444 -200amps CI amps #of Meters LiCommercial(Main) Service 00-100 amps ❑101-150amps U151-200amps I amps OCT Service amps Conductor Type Size !Multi-Family(Main)Service 1 10-100 amps 11101-150amps 11151-200amps ❑ amps #of Unit Meters [-Temporary Pole !l amps SERVICE UPGRADE f_1 amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 11100 amps ❑150amps 0200amps ❑ amps [-ICT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-I00amps 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 I Swimming Pool �] Sign I (Smoke Detectors_Qty 1_]Transformers KVA I IMotors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK S REPAIR SCELLANEOUS eplace Burnt/Damaged Meter Can uSafety Inspection I IPanel Change LOH to UG I (Other: CkCAVia,toe4r ✓1 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 1 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 Ve i+t- t Su.5 40 C�� rye✓►A-i rr Phone Number RO 2 S r I -a C 3 Electrical Company ec i coA �e/u�c Office Phone g0('7 l q-' 2_1 I Fax r-- Co. Address: ��c/ C owVS r City J A'1'4 State"FL zip 3221 _� License Holder(Print): State Certification/Registration# F,(—'l3od 1 C Notarized Signature of License Holder Zo�Nt nty4^ Notary Public State of Florida Sworn and subscribed before me this day of wl a I'C q 20 1 Shannon E Sholar My Commission GG 179832 Expires 0112812022 Signature of Notary Public Register Receipt Receipt Number DESCRIPTIONiA- City of Atlantic Beach R4475 • CITY PAID PermitTRAK $94.00 ERES18-0079 Address: 275 FIRST ST APN: 172539 0000 $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 TOTAL ' . , , $94.00 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 0312 2018 13:24:32 CREDIT CARD VISA SALE Card;: XXXXXXXXXXXX1835 SEQ;: 4 Batch;: 560 INVOICE 4 Approval Code: 02959G Entry Method: Manual Mode: Online Tax Amount; $0.00 Card Code: M SALE AMOUNT94,� CUSTOMER COPY Date Paid: Monday, March 12, 2018 Paid By: DAVID GRAY ELECTRICAL SERVICES Cashier: BA Pay Method: CREDIT CARD 4 /(� Printed: Monday,March 12,2018 1:29 PM 1 of 1 1� TWI