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1550 MAIN ST PERMIT ERES18-0125 rS i%�JJ j. Jai S sJ 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: ERES18-0125 Description: EXHAUSE FAN Estimated Value: 0 Issue Date: 4/23/2018 Expiration Date: 10/20/2018 PROPERTY ADDRESS: Address: 1550 MAIN ST RE Number: 172380 0000 PROPERTY OWNER: Name: BIDLACK GORDON W Address: 1550 MAIN ST ATLANTIC BEACH, FL 32233-1939 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: PHASE ONE ELECTRIC LLC Address: 2076 CORONA CT OLIVER VAN DE KAMP JACKSONVILLE, FL 32224 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$7,500. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach,FL 32233 I r Ph(904) 247-5826 Fax (904)247-5845 E R E'S ( uP - O I Z S .JOB ADDRESS: ! �J ,sd (l n t& 'r' 5-� PERMIT # JEA INFORMATION REQUIRED ON ALL PERMITS /SO AMPS I aU VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole []Residential(Main) Service ❑0-100 amps Q 101-150amps ❑151-200amps El-amps #of Meters ❑Commercial(Main)Service 00-100 amps ❑101-150amps ❑151-200amps El-amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps El-amps #of Unit Meters El Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps [I CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: / 0-30amps 31-l 00amps 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 ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORKS REPAHIS/NIISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspetction []Panel Change I OH to UG 10ther: 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. 14 nn R Property Owners Name R_ 6 e.>G(,C fJ J(6,-G L Phone Number �� R U d S Electrical Company 196,Se, Ot�2_ e(e. &6 L , �-�C Office Phone 4a'1 d3 a63 Fax Co.Address: 0763(o r-+ RA City State FL Zip 7-z3 License Holder(Print): 1 l\c.o �✓\ State Certification/Registration# 13 ao53il Notarized Signature of License Holder Sworn and subscribed before this f 20 TONIGINDtEgpERGER o MY COMMISSION IFFg�gggt Signature of Notary Public eo de�dPT�E October 6,ppig N `arY Public U nderwr ters