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463 Palmwood Ln elec permit 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: ERES18-0149 Description: 200 amps/240 volts/third-phase-replace outlets&switches Estimated Value: 950 Issue Date: 5/15/2018 Expiration Date: 11/11/2018 PROPERTY ADDRESS: Address: 463 PALMWOOD LN RE Number: 172020 0190 PROPERTY OWNER: Name: HUNTER JANICEK Address: 463 PALMWOOD LN ATLANTIC BEACH, FL 32233-5607 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: R & R ELECTRIC COMPANY Address: P O BOX 60665 P.O. BOX 60665 JACKSONVILLE, FL 32236 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(904)247-5826 Fax(904)247-5845 (-f E5 '�- 0 14 -7 JOB ADDRESS:463 PALMWOOD LN PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS UO AMPS a40VOLTS PHASE VALUE OF WORKS NEW SERVICE ❑ Overhead E2r Underground d Underground up Pole ❑Residential(Mdn)Service 00-100 amps 0101-150amps IK51-200amps []_amps #of Meters_ ❑Commercial(Main)Service 00-100 amps 0101-150amps []151-200amps []_amps OCT Service_amps Conductor Type Size ❑Multi-Family(Main)Service 00-100 amps 0101-150amps 7151-200amps []_amps #of Unit Meters_ ❑Temporary Pole Damps SERVICE UPGRADE Damps O CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100 amps 0150amps 0200amps []_amps OCT Service amps ADDITIONS,REMODF�REPAIRS,BUHA-OUTS,ACCESSORY STRUCTURES,ETC. OutlelaiSwitches: 1 UI O 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps _101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: #circuits Qkw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA OMotors_hp FIRE ALARM SYSTEM (Requires 3 sets of plow) Qty wlts/amps VALUE OF WORKS REPARec/MISCELLANEOUS ❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UO Permit becomes wid if work docs not commence within a six nronth period or work is seepended m abandoned for six months. 1 hereby oertfy that I have read this application and know the ssme to be true and correct All provisions of Jews mM ordinaneea governing this work will be complied with whether specified m not The pewit does not give wthorky to violMe the provisions ofany other state or]Deal law rtgulazion corotructim or the performance of onnso-ucnon. Property Owners Name -Nntcv Plume Number Electrical Company IZ',- . OfficePhone7L�'4 5sSs Fax Co.Address:-P0 -ky, City)0.(. -v,,'m1 State Zip 3DD3C, License Holder(Print):—?A)bbl� 'Pe S 614 State Certification/Registration# Notarized Signature ofLieense Holder w .r9K Swom and subscribed beforeme this�_day of ')'t1T 20 �g KAREN G NENDERS f grime of Notary Public `�LLa e(:L—(b/rL�Ja�i.rywfry.J MY Coates xhON a Gdaama ,,, exPatas Mere],a),2031 sCash Register Receipt Receipt Number City of Atlantic Beach 0 . DESCRIPTION ACCOUNT CITY PAID PermitTRAK $98,60 ERES18-0149 Address:463 PALMWOOD LN APN: 1720200190 $98.60 ELECTRICAL $94.60 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $39.60 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00 STATE DCA SURCHARGE 45500002080700 0 $200 ITOTAL FEES PAID BY RECEIPT: R5069 $98.60 CITY OF ATLANTIC BEACH B30 SEMINOLE RD ATLANTIC BEAC,R.32233 051158010 154137 CREDIT COAD VISA SALE Cad 9 pC(OOXKK%%%%0061 SEQ A: S Bach A, fi06 INVOICE fi Approval Cade: 015372 Entq MW martial Mode: Online Taw NndM' $0.00 Cad Code: M SALE AMOUNT $� CUSTOMER COPY Date Paid:Tuesday, May 15, 2018 Paid By: R& R ELECTRIC COMPANY Cashier: BA Pay Method: CREDIT CARD 5 Printed:Tuesday,May 15,2018 3:43 PM 1 of 1