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}� 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: ERES18-0096
Description: NEW SERVICE -200 AMPS, 240 VOLTS, SINGLE PHASE
Estimated Value: 0
Issue Date: 3/27/2018
Expiration Date: 9/23/2018
PROPERTY ADDRESS:
Address: 568 TIMBER BRIDGE LN
RE Number: 169505 2135
PROPERTY OWNER:
Name: TOLL FL A LIMITED PARTNERSHIP
Address: 250 GIBRALTAR RD
HORSHAM, PA 19044
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MCDONALD ELECTRIC
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER
JACKSONVILLE, FL 32254
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; FI. 32233 �� r d q
Ph (904) 247-5826 Fax (904) 247-5845 l 0—d /�
,SOB ADDRESS: 570 n !t fl.-/ /./�vt /9--'41 PERMIT# 12e S 19 -00(0
JEA INFORMATION REQUIRED ON ALL PERMITS 2W AMPS Z`tU VOLTS PHASE
TIAL UE OF WORK S 1,5V O
NEW SERVICE ❑ Overhead [g'Tnderground ❑1 Underground up Pole
_Residential (Main)Sei-vice
0-100 amps =1 O l-150amps - l51-200amps amps #of Meters
-Commercial (Main)Service
0-100 amps 101-150amps =151-200amps _ amps =CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps __101-150amps -151-200amps amps #of Unit Meters
_Temporary Pole amps
SERVICE UPGRADE -_ amps - CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps -150amps '-200amps - amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: q1 0-30amps 31-I00amps 101-200amps
.Appliances: If 0-30amps 31-100amps 101-200amps
A/C Circuits: 2 0-60amps 61-100amps
Heat Circuits: L # circuits ag kw
Number of Lighting Outlets. Including Fixtures:
OTHER ELECTRICAL PROJECTS
Sxvimmins Pool _ Sign make Detectors 7 Qty _Transformers KVA - Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/NIISCELLANEOUS
-Replace Burnt/Damaged Meter Can :Safety Inspection -Panel Chance =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
ead 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
specitied or not. The permit does not give authority to violate the provisions ofany other state or local law regulation construction or the performance of
construction.
Property Owners Name / A✓U 4-;" , Phone Number
Electrical Company IK Office Phone 354 P Y -73 Fax
Co.Address: 32 t t �'`�' °''�`� 94- , City State /Z- Zip '722 ry
License Holder (Print): �� '' State Certi catio egistration r �7L cw t
iVotarized Signature of'License Holder �-
Sworn and subscribed before me this 3 day of 1y1:.,L_ 20if
i«
t0:1. Signature of Notary Public
¢vty C orlm C.: c s Je 1 209.
!unu `` 60:1dBd 11tf07d11 tditi0fl3!P101afy AaSf�l.