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2337 Seminole Rd Unit C elec permit CITY OF ATLANTIC BEACH ii 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL RESIDENTIAL - MUSf CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ERESIB-0143 Description: METER ENCLOSURE JAW Estimated Value: 100 Issue Date: 5/11/2018 Expiration Date: 11/7/2018 PROPERTY ADDRESS: Address: 2337 SEMINOLE RD C RE Number. 168846 5006 PROPERTY OWNER: Name: BOHR SARAH H Address: 2337 SEMINOLE RD A ATLANTIC BEACH, FL 32233-5931 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Budnik Electric& HVAC, Inc. Address: 6703 LAURINA PL MAXIM BUDNIK JACKSONVILLE, FL 32216 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 Ph(9014)247-5826 Fax(904))2447-5845 �(/'� EREsf g-b f 43 JOB ADDRESS: 2 3 3 7 a( 1n(1w1,'e /(CR L�%t y )PERMIF# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUEOFWORKS 000,1V0 NEW SERVICE ❑ Overhead ❑ Underground [:3 Underground up Pole ❑Residential(blain)Service ❑0-100 amps 0101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps fl amps DCT Service amps Conductor Type Sim ❑Multi-Family(Main)Service DO-]00 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters ❑Temporary Pole amps SERVICE UPGRADE LI-amps CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ''1200amps G amps DCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 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 -ITransformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK S REPAIRS/MISCELLANEOUS ❑Replace Bumt/Damaged Meter r Can ❑Safety Inspection ❑Panel Change ❑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. 1 hereby certify that I have read this application and know the same to be(me 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. 9O// Property Owners Name / �� L //�/�t „. Phone /OV 217r,---� 1 Electrical Company�7 I8Q,//v1,t �� Q(�' ,' 77yh'-�Jttice Phone 90 y�©Q FO Co.Address: / ! 6 0 �l u�I� d // City �ef/x ' State Zip S 2� License Holder(Print): /m i3 u_a1A (� State Certification/Registration# EC 1.3007VI S Notarized Signature of License Holder =155 p Sworn and subscribed before 9 s of 20 MY924951E ,20[9MeixnaR Signature of Notary Public Cash Register Receipt ReceiptNumber 1 � fU of DESCRIPTION PermitTRAK $59.00 ERES18-0143 Address: 2337 SEMINOLE RD C APN: 168846 5006 $59.00 ELECTRICAL $55.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 555.00 STATE SURCHARGES $4.00 STATE BEER SURCHARGE 455-0000-208-0600 0 $2.00 STATE DCA SURCHARGE 45500002080700 0 $2.00 TOTAL • BY RECEIPT: R5045 $59.00 CITY OF ATLANTIC BEACH NO SEMINOLE RD ATLANTIC BEAC,R.32233 05jily2018 15:49:11 CREDIT CARD NSA SAIF Card B Y.Y,Y OME1531 SEQ✓✓: 9 Batch M: 604 INVOICE 9 Anyovd Code: 546208 EnOy McBwd: Mari MDde: Cnh Tat kwt: $0.00 Card Code: M $AEE AMOUNT PE CUSTOMER COPY Date Paid: Friday, May 11, 2018 Paid By: BOHR SARAH H Cashier: BA Pay Method: CREDIT CARD 9 Printed:Friday,May 11,2018 3:49 PM 1 of 1 n�