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760 Bonita ERES18-0312 °++ 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: ERES18-0312 Description: ELECTRIC-NEW FEEDER AND REMODEL Estimated Value: 2000 Issue Date: 9/21/2018 Expiration Date: 3/20/2019 PROPERTY ADDRESS: Address: 760 BONITA RD RE Number: 171097 0000 PROPERTY OWNER: Name: SMYTH JAIME Address: 760 BONITA RD ATLANTIC BEACH, FL 32233-0207 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: SEASIDE ELECTRICAL CONTRACTORS Address: 12381 APPLE LEAF DR QA CLARK GEISSMAN JACKSONVILLE, FL 32224 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 / RPh(904) 247-5826 Fax:(904)247-5845 ���(� .P�b 3( Z— JOB ADDRESS: ! b O /J g-� t 1 Ti's Rn . PERMIT# /d -(00 16 JEA INFORMATION REQUIRED ON ALL PERMITS 20c> AMPS ZLJOVOLTS PHASE VALUE OF WORK Z,1k70, •' NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole ❑Residential(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service 00-100 amps i 101-150amps ❑151-200amps ❑ amps OCT Serviceamps Conductor Type Size ❑Multi-Family(Main)Service 00-100amps 7101-150amps 0151-200amps ❑ amps of Unit Meters []Temporary Pole amps SERVICE UPGRADE I I amps ❑ CT Service amps NEW FEFJIER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) sr](10amps 0150amps 11200amps ❑ amps ❑CT Serviceamps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: Y $ 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 1 0-60amps 61-100amps Heat Circuits: 1 # circuits _kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool i Sign ❑Smoke Detectors_Qty (Transformers KVA ❑Motorshp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Bumt/Damaged Meter Can Ll 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 cancer. 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. c\ ??9 p C�p !' // Property Owners Name/ V Q..IY1 �Yl ��T I'� Phone Number ? I t —CJ (44— ElectricalCompanyJFJ-l sido— Ele 4QJ of Office Phone DL4 -05-3SFax Co. Address: /U?10-3 614. *236— CiTy JN"-lUj1e- State FL Zip Z2 License Holder(Print): C[ -I$$ tate Certification/Registration# EA 13171 35-IR Notarized Signature of License Holder. Sworn and subscribed before m 's d 20 _2�ilys�;:`. TONT GINOlESPEaGEA raalMissioNaFF924%1 Signature of Notary Public E%PIREa:October 6,2019 *'., ,; aoneeallry Nalmy Pacumewa m