1604 COQUINA PL - ELECTRIC ss. CITY OF ATLANTIC BEACH
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: ERES18-0306
Description: 200 Amp 240 Volt Single Phase
Estimated Value: 600
Issue Date: 9/17/2018
Expiration Date: 3/16/2019
PROPERTY ADDRESS:
Address: 1604 COQUINA PL
RE Number: 169561 0000
PROPERTY OWNER:
Name: HINDER PAUL R
Address: 1604 COQUINA PL
ATLANTIC BEACH, FL 32233-5814
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: INTEGRITY FIRST ELECTRIC COMPANY
Address: 920 8TH AVENUE SOUTH, #D WALTER EUGENE HAYNES
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845 f.�(' 1 `� l 1 )
JOB ADDRESS: /79(,)1 i /r74 ACC, PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 2!/v AMPS 2((° VOLTS / PHASE
VALUE OF WORK$ ('OO
NEW SERVICE ❑ Overhead [l Underground nT Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps '❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
110-100 amps ❑101-15Oamps ❑151-200amps ❑ amps #of Unit Meters
El Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
• I DITIONS, ' ODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
witches: f 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: y
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑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 El 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 // ie 4er Phone Number
Electrical Company 9.--//1-7//l/ C'5I ff�eCI°''c Office Phone 2 9G (i if Fax
Co.Address: q 2 U-�) ���pQ�e S, City '74--x E(L State (2 Zip .l?77.iz
License Holder(Print): t)'( (ty /7Z y#fc S State Certification/Registration# ;1_'Oi f_2Notarized Signature of License Holder /
7)
z %+ ,, JAMMITN IED.Sorn and subscribed for me this 11 day of c D �L ell 20 g
,* MY COMMISSION#GG 255331 `1
•Q EXPIRES:September 5,2022 gnature of Notary Publ /titin. _-
..?; BondRen
Battled Thru Notary e Underw!iters`
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