2303 FIDDLERS LN - ELECTRIC jyLy
�' I CITY OF ATLANTIC BEACH
" - 5-) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
''0 3i>'r' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0105
Description: ELECTRIC REMODEL KITCHEN & BATH
Estimated Value: 0
Issue Date: 4/3/2018
Expiration Date: 9/30/2018
PROPERTY ADDRESS:
Address: 2303 FIDDLERS LN
RE Number: 169463 0126
PROPERTY OWNER:
Name: EBERT WILLIAM P J
Address: 2303 FIDDLERS LN
ATLANTIC BEACH, FL 32233-4681
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: SOUND INSTALLATION AND DESIGN, INC
Address: 5100 SUNBEAM RD STE 1
JACKSONVILLE, FL 32257
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$7,500.
ELECTRICAL PERMIT APPLICATION R ES 1 -O � C5
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 6L
Ph(904) 247-5826 Fax (904)247-5845 s I$ otos-
JOB ADDRESS: 23 0 3 ,77 c 6.-c-5 L PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 7 _D O AMPS 2`^/ VOLTS I PHASE
VALUE OF WORK$ qj S-0
NEW SERVICE ❑ Overhead n Underground [3 Underground up Pole
❑Residential (Main) Service
❑0-100 amps CI 101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
El 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 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: I L 0-30amps 31-100amps 101-200amps
Appliances: I 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 ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Other: wtaiu-f�A M 3/1 i/�
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. �
l 1 / 1 r b I
Property Owners Name Ail M� !tic 4 G41:4 o`�i ' Phone Number
Electrical Company s�,ca, /.,s;.acc A7, •P s i 1'a Office Phone 7.32.79$6 Fax
Co.Address: 57 OD 5 Li A,5r/h., - u ,-r 1' City ..V 7( State rL Zip Z z 97
License Holder(Print): 6; q RR/ AtI State Certification/Registration# (30 07`46 8
Notarized Signature of License Holder ` / 'r
>'P • TONIGINDLESPERGER Sworn and subscribe before mon s ! of i� i 20 1(%
;,: MY COMMISSION#FF 924951
EXPIRES:October 6,2019 Signature of Notary Public I /
Bonded Thru Notary Public Underwriters
%'S 1�=A\I7 J
�4 ' Receipt Number
�� Cash Register Receipt p
J ;a
City of Atlantic Beach R4680
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
ERES18-0105 Address: 2303 FIDDLERS LN APN: 169463 0126 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC I 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 FEES PAID BY RECEIPT: R4680 $94.00
•
Date Paid:Tuesday, April 03, 2018
Paid By: SOUND INSTALLATION AND DESIGN,
Cashier: LE
Pay Method: CREDIT CARD 4
Printed:Tuesday,April 03,2018 2:11 PM 1 of 1 i+
IRAGT