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574 Nautical Blvd - Permit ERES18-0140 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC_ BEACH, FL 32233 J131�'' INSPECTION PHONE LINE 247-5814 ELECTRICAL RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ERES18-0140 Description: 150 AMP PANEL CHANGE, HOOKUP 2.5 TON A/C 5KW HEAT Estimated Value: 2000 Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 574 N NAUTICAL BLVD RE Number: 170703 0352 PROPERTY OWNER: Name: CARR GREGORY A TRUST Address: 574 NAUTICAL BLVD N ATLANTIC BEACH, FL 32233-4119 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AMERICAN ELECTRICAL CONTRACTOR Address: 5065 ST AUGUSTINE RD APT 13 5065 ST. AUGUSTINE RD#13 JACKSONVILLE, FL 32207 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$7,500. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC PEACH 800 Seminole Rd,Atlantic Beach,FL 32233 !� �+Ph(9/04)247-5826 Fax (904)2447-5845 JOB ADDREss: PERMIT# Ez o S�� JEA INFORMATION REQUIRED ON ALL PERMITS 1 AMPS 9 VL1 VOLTS Z FHASE VAL UE OF WORK$ / ex C) r NEW SERVICE ❑ Overhead ❑ Underground EDUnderground up Pole ❑Residential (Main)Service 00-100 amps G 101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main) Service 00-100 amps ❑101-150amps ❑151-200atnps U amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps G amps #of Unit Meters ❑Temporary Pole G amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps ❑150amps 0200amps ❑ amps OCT 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 ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK•$ REPAMS/1VIISCELLANEOUS ❑Replace Burnt/D//arnaged Meter Can ❑Safety Inspection ❑Panel Change 11 OH to UG 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. Property Owners Name ��/� Phone Number ''�lo-�/ Electrical Companyain , 6k/ ne �� Fax Co.Address: p � /"l� ��`J7'� �� , J ,`l" /� City � State License Holder (Print): f�� r�� ✓ ate Certification/Registration 4'e�(f Notarized StatuAffn i nse Holder NOTARY PUBLIC ESTATE OF FLORIDA Sworn and subscribed befo me s y of 2ylk" w Com-n#cGoaaazSignature of Nota Pub c ce� Expires 2!212021 � Notary � I RegisterCash • .• Receipt City of Atlantic Beach R4961 .J DESCRIPTION ACCOUNTQTY PAID PermitTRAK - . _ $168.00 ERES18-0136 Address: 1305 SEMINOLE RD APN: 171896 0000 $59.00 ELECTRICAL $55.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE.SURCHARGES $4:00 = STATE DBPR SURCHARGE 455-0000-208 0600 0 $2.00 STATE DCA SURCHARGE 45500002080700 0 $2.00 ERES18-0140 Address: 574 N NAUTICAL BLVD APN: 170703 0352 $109.00 `ELECTRICAL $105.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC SERVICE CHANGE 455-0000-322-1000 150 $50.00 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: R4961 $168.00 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 051103/2018 16:24:56 CREDIT CARD MC SALE ::ARD# ;(XXX)XXXXXXX1482 :INVOICE 0007 ,EQ#: 0007 Batch#: 000790 :approval Code: 820297 :nay Method: Manual Mode: Online Tax Amount: $0,00 Cust Code: Card Code: M ';SALE AMOUNT $168,00 Date Paid:Thursday, May 03, 2018 Paid By: AMERICAN ELECTRICAL CONTRACTOR CUSTOMER COPY Cashier: CB Pay Method: CREDIT CARD 820297 Printed:Thursday, May 03,2018 4:26 PM 1 of 1 mWr