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1965 Brista De Mar ERES18-0316 CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -on 0, INSPECTION PHONE LINE 247-5814 ELECTRICAL RESIDENTIAL - MUSI CALL BY 4PM FOR NE)tT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ERES18-0316 Description: 150 Amp 120 Volt Single Phase Estimated Value: 800 Issue Date: 9/2612018 Expiration Date: 3/25/2019 PROPERTY ADDRESS: Address: 1965 BRISTA DE MAR CIR RE Number: 169506 1668 PROPERTY OWNER: Name: Valerie Steam Address: 1965 BRISTA DE MAR CIR ATLANTIC BEACH, FL 32233-4525 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: PHASE ONE ELECTRIC LLC Address: 2076 CORONA CT OLIVER VAN DE KAMP 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 he 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$7,500. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 2 PhL(904)21147-5826 Fax(904) 247-5845 /n� JOB ADDRESS: I VI (n.G l'JC 15l o. ('JP, mca- PERMIT ef-es Ix -00 JEA INFORMATION REQUIRED ON ALL PERMITS ISC) AMPS (2-0 VOLTS PHASE VALUEOFWORK$ '� 00 NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole Residential(Main) Service 0-100 amps 1101-150amps 1151-200amps ❑ amps # of Meters Commercial(Main) Service 0-100 amps 101-150amps 11151-200amps 1 amps [ICT Service amps Conductor Type Size i Muld-Family(Main)Service 10-100 amps ❑101-150amps [=151-200amps 1 amps #of Unit Meters C Temporary Pole li amps SERVICE UPGRADE 1 amps 7 CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) iJ 100 amps 1150amps 1200amps amps UCT Serviceamps 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 @ kw3 Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool 11 Sign ❑Smoke Detectors_Qty Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS Ci Replace Bumt/Damaged Meter Can [I Safety Inspection ❑Panel Change 00H 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 1 have read this application and know the some 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 wnsnuclion or the performance of construction. 71-1 -slq-15o3 Property Owners Name pBW l"F'eL.Ce. Phone Number q dy- 7 7d-3 ro4 Electrical Company {D USS. C5n{. EIc,e.+cl <�LI. Office Phonego4- a-6dG3Fax Co.Address: C- City 7&Y, State R, Zip 3X71-1-t{ License Holder(Print): k (_.. /�r State Certifj6ption/Registration#G61SOOS38ll?, Notari DAME D.IM11n �O � 1,rycDMM45910NeG0=i6 andsubscribedbefo nethisZ da ofS tl�a' 20j� 3ei E75AZFS'aagani0a 5.2071j�r `'1. a,,.• n,nMmyewktma.wn, atme ofNotary Publ