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625 Atlantic ELEC18-0003 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach,FL 32233 L �n Q �y.� /t Ph(904)247-5826�FFagqx(9004)247-5845 mi=l_,' ('_W03 df1B ADDRESS: ;5-A , _Iyd, r%K:1'7 PERMIT# JEA INFORMATION REQUIRED ON ALL VALUEOFWORK$ IMO.00 NEW SERVICE ❑ Overhead ❑ Underground E3 Underground up Pole ❑Residential(Main)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service 00-100 amps D101-150amps 0151-200amps ❑ amps DCT Service amps Conductor Type Size ❑Muld-Family(Main)Service 00-100 amps 0101-150amps D151-200amps ❑ amps of Unit Meters ❑Temporary Pole❑ amps SERVICE UPGRADE ❑_amps ❑ CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100 amps 0150amps 0200amps ❑ amps ❑CT Service_amps 4 DDTFIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100araps 101-200amps Appliances: 0-30mps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits Q kw Number of Lighting Outlets, Including Fixtures: )THEA ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp IRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUEOFWORH$ EPAIRSAHSCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ��//�OH to UG ❑Other: mot becomes void if work does not commence within a sue month penod or work is suspended or abandoned for six months. I hereby certify that I have d this application and know the same to be true and correct. All provisions of laws and ordinances goveming this work will be complied with whether xified or not 'tate permit does not give authority to violate the provisions of my other state or local law regulation construction or the perlmmence of tstrection /l^ n,, t l�,t'/ 2k-i )petty Owners Name +'I S M •'t<c-t Phone Number I U7', �a—0709 x ical Company [ ffice Phone��Fiax -97 .Address: city�State4L Zip37aG Wolaer(Print): State C tion/Registration#Itil -ft. tarized Signature of License Holder 3:? "'ja MV,MGJs,q_m'R n�asst ore me this day of '++ = EXPIRES:Wober6,2010 state of NotaryPublic �'u 9antl nn W4 PuC@Mhm�Mn CITY OF ATLANTIC BEACH n 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 --ora 1, INSPECTION PHONE LINE 247-5814 ELECTRICAL COMMERCIAL OR MULTIFAMILY SEPARATE ELECTRIC PLANS - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ELEC18-0003 Description: OVER HEAD TO UNDERGROUND Estimated Value: 10DO Issue Date: 9/7/2018 Expiration Date: 3/6/2019 PROPERTY ADDRESS: Address: 625 ATLANTIC BLVD RE Number: 170663 0000 PROPERTY OWNER: Name: SMMJJM LLC Address: 619 ATLANTIC BLVD ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: CRAWFORD ELECTRIC Address: 2301 Marsh Point Road Neptune Beach, FL 32266 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$7,500. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach,FL 32233 r �- � Ph�(904)247-5826 Fax (904)247-5845 E' �=C( S_yWQ3 QB ADDRESS: S _ W5— ` - �(I(�r r �j PERMIT# JEA INFORMATIONAINIMEDO ._- A VALUEOFWORH$ NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole ❑Residential(Main)Service 00-100 amps 0101-150amps 0151-200amps ❑ 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 11151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE 0----amps ❑ CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps ❑150amps 0200amps ❑ amps ❑CTService_amps kDDITIONS,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: )THEA ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA OMotorshp IRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WOEII$ EPAItS/MISCELLANEOUS ��/// ❑Replace BumUm Daaged Meter Can C]Safety Inspection ❑Panel Change {SOH to UG OOther: / ` rmit becomes void if work does not commence within a au month period or work is suspended or abandoned for six months. I hereby certify that I have d this application and know the same to be true and correct. All provisions of laws and ordinances goveming Nis work will be complied with whether ,cified or not. The permit does not give authority to violate the provisions of my other state or local law regulation constmotion or the performance of IaWetion. rt'! 3perty Owners Name !YI S m phone Number W-M-07199 setrical Company [ ffice Phone VEZUax O&LZW- 0`137 .Address: City MQOWU &Statee Zip322rfe 4w—iolder(Print): State ' tion/Registration#2�` Pay9 tarized Signature of License Holder P _ TONT GINOIESPEPGN ore me this day of ,zMY co", ION a FF924851 i EXPIRES:Ocue.s,zols atmeofNotaryPublic AIM•` eo�aa TnN wwr r,ucumaaarea