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S� CITY OF ATLANTIC BEACH
J
s' 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: ERES18-0302
Description: 200 amps/240 volts/single-phase - new service
Estimated Value: 2500
Issue Date: 9/12/2018
Expiration Date: 3/11/2019
PROPERTY ADDRESS:
Address: 569 TIMBER BRIDGE LN
RE Number: 169505 2055
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS LLC
Address: 414 OLD HARTS RD STE 502
FLEMING ISLAND, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MCDONALD ELECTRIC
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER
JACKSONVILLE, FL 32254
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 a es I
JOB ADDRESS: 'S G9 t AA 6er 11c kd9 _ LANe, PERMIT# e5 18-nIaa
JEA INFORMATION REQUIRED ON ALL PERMITS 0O AMPS ?- O VOLTS PHASE
VALUE OF WORK$ 2500.0'0
NEW SERVICE ❑ Overhead E✓r Underground ❑T Underground up Pole
1 Residential(Main) Service
0-100 amps C 101-150amps VtSf 200amps amps #of Meters
Commercial(Main) Service
`0-100 amps 101-150amps 151-200amps I amps LICT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE '- amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 17150amps 200amps amps 1-1 CT 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:
OTHER ELECTRICAL PROJECTS
-_Swimming Pool - Sign Smoke Detectors_Qty i'Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection -]Panel Change ]OH 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 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.
Property Owners Name 10// gro than s Phone Number
Electrical Company -L
0»ay
fZe, 1?1,c� Office Phone 906- 7.3 Fax 90�-�l96' /'f$'j/
/
Co. Address: �3��� �,e�% /L 61- City(�ILCf�,�o/JVi ll& StatePZ Zip31.?5_Y/
License Holder(Print): CQ State ification/Registration# 6e"I79Y
Naof License Holder
CHRISM 1h�„-
`,.�PpV P�,�i�
No
Public State c! 1-1un,. Sworn d subscribed before me this I� L day of s e p L. 4 2011
.1; ; Commission # FF 943955
;r �o= My Comm.Expires Dec 15,2019 Signature of Notary Public
��''FOF f;�'' Bonded through National Notary Assn.