364 7th ERES18-0290 Cash Receipt
Receipt Numb
egisterer
n ••
City
f Atlantic Beach R6193
DESCRIPTION ACCOUNT • 1
PermitTRAK $95.60
ERES18-0290 Address: 3647TH ST APN: 1699010000 $95.60
ELECTRICAL $91.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 61 $36.60
FIXTURES
STATE SURCHARGES S4'01)
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-206-0600 0 $2.00
TOTAL / BY • 1
Date Paid:Thursday,August 30, 2018
Paid By:G &G LLC
Cashier: CB
Pay Method: CREDIT CARD 522809
Printed:Thursday,August 30,2018 11:02 AM 1 of 1
rS:�U
CITY OF ATLANTIC BEACH
i; 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: ERES18-0290
Description: 200 Amp 240 Volt Single Phase Remodel
Estimated Value: 15000
Issue Date: 8/30/2018
Expiration Date: 2/26/2019
PROPERTY ADDRESS:
Address: 364 7TH ST
RE Number: 169901 0000
PROPERTY OWNER:
Name: NOVAK EMILY E
Address: 364 7TH ST
ATLANTIC BEACH, FL 32233-5434
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: G &G LLC
Address: 2935 Reindeer CT
MIDDLEBURG, FL 32068
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.
a
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlmrnic Beach,FL 32233O
rip ES 1 ma, 02-q Q
cP1h(904)247-5826 Fen(904)247-5845 GIC. l 0
JOB ADDRESS: 4 �.�1 PERMIT# kan Il-ooa
JEA INFORMATION REQUIRED ON ALL PEl2M1T3 AMPS `
_VOLTS PHASE
FAL UE OF WUEXJ 1510 0 0 U
i
NEW SERVICE ❑ Overhead Underground d Underground up Pok
'JResidential(Main)Service
C0-100 amps ❑101-150amps 17151-200amps 'Lamps #of Meters
_Commercial(Maio)Service
:70.100 amps 101-150amps 7151-200amps _amps . CTService_amps
Conductor Type Sim
i;Muld-Family(Main)Service #of Unit Meters
_0-100 amps L101-150amps 7151-200amLamp
s9 s
LTemporary Pole Lamps
SERVICE UPGRADE ']_amps GCT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100amps C150amps 1:1200amps I]-------AMPS OCTServiu_amPs
ADDITIONS,REMOD PA RS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-I00amps 101-200amps
Appliances: 15 0-30amps _31-100amps _101-200amps
A/C Circuits: 2, 0-60amps 61-100amps
Heat Circuits: V _ #circuits ®_ja_ k
Number of Lighting Outlets,Including Fixtures:
OTHER ELECTRICAL PROJECTS
LSwimming Pool - Sign LSmoke Detwwr;_Qty LTransfmTIclS KVA '1Motots_hp
FIRE ALARM SYSTEM (Requires 3 sets of Plans) VALUE OF WORK 5-
Cry_volts/smps
REPAIRS/MISCELLANEOUS
Olkeplace Buml/Dsmaged Meter Can _I Safety Inspection LPaml Chmge -:OH to UG
Other:
Pen it becorses void irwork does WI wmmence wdaineaumoMh penodar work s suspedd'abandon for otA I hembyovtitvth Il
ove
reed Nis epplicetlon end kwwthe seinen Mtrue and rnrtect. All provisions Mlaws end mdinences governing this work will be complied with wM1etl,er
spedfid m not The pesom dins int give authority to vi-lot-the provisions ofany other stuc or IoW dew regulation consmWiorn,or the perksWeWe of
Property Owners Name�tT11 I�1-- - _ Phone Number
Electrical Company
Office Phoce 404-13V-2VI Fax 929 -221-65x,
aY( 5 �1 city M'Irdlfive'y Sante_ziP 4?
Co. Address:
License Holder(Print): p __State CertiScation/Rnegistratio # -
t lion]4a`/
Notarized Signature ofLI a Hol
Sworn and subscribed before/////m/////e ",,,,,t +M,,, day of R/26!/�4r 20A
_
NOTARVPlIn1.IC Signature of Notary Public
STATE OF FLORIDA
can. G00973M
Expires 4!2112027