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645 Atlantic Blvd ERES18-0295 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 ��CC W 1 ``Ph(904)2j47-5826 Fax (904)247-5845 E IRBADDREs9: Ffif'Lf 71f I(a '��� OZ 7S PERMITWk # INFORMATION REQUIREDO TS VALUE OF WORE$ NEW SERVICE ❑ Overhead ❑ Underground DUnder ❑Residential(Main)Service ground up Pole 00-100 amps 0101-150amps 0151-200amps ❑ ❑Commercial(Main)Service amps #of Meters 00-100 amps 0101-150amps 0151-200amp s ❑ Conductor Type size amps ❑CT Service_amps OMulti-Family(Main)Service 00-100 amps 0101-150amps 0151-200amps ❑ ❑Temporary pole 0 amps amps #of Unit Meters SERVICE UPGRADE 0_amps ❑ CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100 amps ❑150amps 0200amps ❑ amps OCT Service_amps 4DDMONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30am s Appliances: 0-30am s 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100ampa 101-200amps Heat Circuits: #circuits @ law Number of Lighting Outlets, Including Fixtures: )THER ELECTRICAL PROJECTS . ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Tmndbrmers KVA ❑Motors_hp IRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORKS EPADLS/11•HSCELLANEOUS OReplace Bum/Damaged Meter Can ❑Safety Inspection OPanel Change OH to UG ❑Other: nnit becomes void it work does not commence within a nix month period or work is suspended or abandoned for six montlu. I hereby certify that I have d this application and know the same m be true and correct. All provisions of laws and ordinances governing this work will be complied with whether :ctfiedon. Thepennit does not give authority m violate the provisions of my other state or local law regulation construction or the perfomumce of tswction. A ,,,^ m )PertY Owners Name WLR', I 'IQI 11.W N.1,� Phone Number :ctrical Company C,Office Phon�-2��! Faxo37 .Address: {.t7 City�i .State Zip 4� Wi°laer(paint): State Certification/Registration# r:�Q?407I-I{q tariaed Si r TONI GINDIESPEflGEfl MY COM1IMISSIONaFF 924951E reme this a' p EXPIRES'.October6.2619 ��'� ' Nand' BOMef mry No:ary Pueik UMercna . tare of NotaryPublic -i-av- Y CITY OF ATLANTIC BEACH T 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: ERES18-0295 Description: OVER HEAD TO UNDERGROUND Estimated value: 1000 Issue Date: 9/7/2018 Expiration Date: 3/6/2019 PROPERTY ADDRESS: Address: 645 ATLANTIC BLVD RE Number: 170662 0000 PROPERTY OWNER: Name: 645 ATLANTIC HOLDINGS 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 IP Ph(904)247-5826 Fax (904)247-5845 VSsADnREss ( .� a&c n d32ZJ� -PERMIT# JEA INFORMATION REQUIRED ON ALL VOLTS VALUE OF WORKS-, NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole ❑Residential(Main)Service 00-100 amps 3101-150amps 0151-200amps ❑ amps #of Meters ❑Commercial(Main)Service 00-100 amps 0101-150amps 0151-200amps ❑ Conductor Type Size amps 0 C Service amps ❑Multi-Family(Mom)Service 00-100 amps ❑101-150amps ❑151-200amps ❑ ❑Temporary pole ❑ _ amps amps #of Unit Meters SERVICE UPGRADE 0-----amps ❑ CI Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps ❑CT Service_amps 1DDITIONS,REMODELS,REPAIRS,BU LD-OUTS,ACCESSORY STRUCTURES,ETC. OutleWSwitches: 0-30amps 31-100amps 101-200am s Appliances: 0-30amps 31-100amps 101-200amp A/C Circuits: 0-60amps 61-100amps s Heat Circuits: #circuits @ 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 VALUE OF WORK s EPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change AIH to UG OOther: rani[biomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have ,it this application and know the same to be true and correct. All provisions of laws and ordinances governing this work%ill be com lied with whether ,cified or not The permit does not give authority to violate the provisions of any other state w local law regulation construction or the performance of tstmction. 3perty Owners Name�-q.LA I 1 I( .Y AA.V\ Phone Number -d :ctrical Company C,Office Phon�-2� ! FaxR�"�7 .Address: City�State Zip=241, &Tinder(Print): State Certification/Registration# 15C 71�q i `x', WCOMMISSSIONAEFFF92pM1 .. B remethis_7da — NI ». EXPIPEa:Odobat 6,2019 true of Notary Public