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333 PLAZA - PERMIT ERES18-0155 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: ERES18-0155 Description: 200 amps/240 volts/single-phase-elec for remodel Estimated Value: 3000 Issue Date: 5/18/2018 Expiration Date: 11/14/2018 PROPERTY ADDRESS: Address: 333 PLAZA RE Number: 169999 0000 PROPERTY OWNER: Name: William Alfaro Address: 333 PLAZA ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: LORE ELECTRICAL CONTRACTORS Address: 210.N ROSCOE BLVD 210 N. ROSCOE BLVD PONTE VEDRA BEACH, FL 32082 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$7,500. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: -3 PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS 2-&�_D AMPS 2WO VOLTS PHASE VALUE OF WORK$ 50_Z)'0 NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main) Service 00-100 amps ❑101-150amps ❑151-200amps []—amps # of Meters ❑Commercial(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps [I CT Service amps Conductor Type Size ❑Multi-Family(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters [I Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 11200amps ❑ amps [I CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: Ib 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: /C7 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 Ll Replace Burnt/Damaged Meter an []Safety Inspection ❑Panel Change OOH to UG ❑Other: Permit becomes void if work does not corrimence 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. r Property Owners Name l Phone Number Electrical Company = �C � Office Phone 73��> Fax d� Co. Address: 2�D C = �f U City P 0 (�.P4cA State Zip License Holder •Print C B — ate rtification/Re istration# Holder(Print): � g s Notarized Signature of License Holder JENNIFER J:#GG TON Sworn and subscribed before me this�day of �-�l 20 rr?' W. � #; �? MY COMMISSIO042984 EXPIRES:Oct7,2020 Signature of Notary Public �;�p BandedThru Notary Underwriters Sr y Cash City ofAtlanticBeach • • • / DESCRIPTION ACCOUNTQTY PAID PermitTRAK $55.00 ERES18-0155 Address: 333 PLAZA APN: 169999 0000 $55.00 ELECTRICAL FINAL 07/11/2018 RBE $55.00 ELECTRICAL FINAL 07/11/2018 RBE 45500003221002 0 555.00 TOTALR5680 11 REPRINT CITY OF ATLANTIC BEACH �f 800 SEMINOLE RD lJf r�'C'�.+ lore, el c r G - c00-', ATLANTIC BEAC,FL 32233 07:17;2018 12:1321 CREDIT CARD VISA SALE Card» XXXXXXXXXXXX3122 SEQ u: 4 Batch : 840 INVOICE 4 Approval Code: 09652G Entry Method: Manual Mode: Online Tax Amount: $0,00 Card Code; M SALE AMOUNT X552 CUSTOMER COPY Date Paid: Tuesday,July 17, 2018 Paid By: LORE ELECTRICAL CONTRACTORS Cashier: CB Pay Method: CREDIT CARD 09652g /S Printed:Tuesday,July 17, 2018 12:14 PM 1 of 1 'A