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349 3RD ST - ELECTRIC i'1�Lvr7,, ri ' CITY OF ATLANTIC BEACH Y'' ' 800 SEMINOLE ROAD J� v~ ATLANTIC BEACH, FL 32233 "'0.2 INSPECTION PHONE LINE 247-5814 ELECTRICAL RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ERES18-0253 Description: ELECTRIC -24 OUTLETS Estimated Value: 3200 Issue Date: 8/7/2018 Expiration Date: 2/3/2019 PROPERTY ADDRESS: Address: 349 3RD ST RE Number: 169823 0000 PROPERTY OWNER: Name: HOFFMAN DAVID A Address: 349 3RD ST ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: KNIGHT ELECTRIC LLC Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT JACKSONVILLE BEACH, FL 32250 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$7,500. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 £ R S t,-b Z 5 3 JOB ADDRESS: 3"I'? PERMIT# Re5 JEA INFORMATION REQUIRED ON ALL PERMITS ar,00 AMPS 2+ 1) VOLTS ( PHASE VALUE OF WORK$ Q UU ,� NEW SERVICE ❑ Overhead ❑ Underground ❑7 Underground up Pole Residential (Main) Service '0-100 amps 11101-150amps 151-200amps I .1 amps #of Meters I Commercial(Main) Service 1 ;0-100 amps ..1101-150amps 151-200amps I amps ICT Service amps Conductor Type Size Multi-Family(Main) Service 10-100 amps 1 ;101-150amps 1151-200amps I I amps #of Unit Meters (Temporary Pole I I amps SERVICE UPGRADE amps I I CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 1..100 amps El I50amps T200amps l amps ':;;ICT 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: 4 OTHER ELECTRICAL PROJECTS Swimming Pool i_,I Sign I Smoke Detectors _Qty I:...Transformers KVA I. IMotors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS I iReplace Burnt/Damaged Meter Can I ISafety Inspection .-(Panel Change I..IOH 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. I hereby certify that l 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 ot'any other state or local law regulation construction or the performance of construction. f (� Property Owners Name 1✓A'vl ii t�ctika Phone Number Electrical Company r 'o h r t 'cc LL C.. Office Phone 914'7-(PW Fax 174-17- 9W3 Co. Address: - S )/'�' /r j+.. City T h. State ri Zip 3 22,0 License Holder(Print): eV- i State Certification/Registration # 6-12!' 4 2 3 0 . :older ''17. .64t Notary Public-State of Florida ( 1 commission # FF ssa�ez ,01 Sworn and subscribed before me this 7 da of 1't O W 20 ,._Y ;.= MY Comm.Expires May 31,2020 Signature°C4 " Bonded through National Notary Assn, of Notary Public 'rt'" .I a=�� Cash Register Receipt Receipt Number r) City of Atlantic Beach R5964 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $73.40 ERES18-0253 Address: 349 3RD ST APN: 169823 0000 $73.40 ELECTRICAL $69.40 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 24 $14.40 FIXTURES STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R5964 $73.40 Date Paid: Tuesday, August 07, 2018 Paid By: KNIGHT ELECTRIC LLC Cashier: CB Pay Method: CREDIT CARD 4 /tiII Printed:Tuesday,August 07, 2018 1:53 PM 1 of 1 jt rsr Cash Register Receipt Receipt Number City of Atlantic Beach R5963 rF DESCRIPTION ACCOUNT QTY PAID PermitTRAK $94.00 ERES18-0252 Address: 1671 W PARK TER APN: 172020 0332 $94.00 ELECTRICAL $90.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R5963 $94.00 Date Paid: Tuesday, August 07, 2018 Paid By: KNIGHT ELECTRIC LLC Cashier: CB Pay Method: CREDIT CARD 4 Printed:Tuesday,August 07,2018 1:52 PM 1 of 1 /` Ate Cash Register Receipt Receipt Number 1110Y- City of Atlantic Beach R5962 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $94.00 TEMP18-0031 Address: 1671 W PARK TER APN: 172020 0332 $94.00 ELECTRICAL $90.00 ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R5962 $94.00 Date Paid: Tuesday, August 07, 2018 Paid By: KNIGHT ELECTRIC LLC Cashier: CB Pay Method: CREDIT CARD 4 /rte Printed:Tuesday,August 07,2018 1:50 PM 1 of 1 �'r`