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2281 Fairway Villas North ERES19-0173 Service Upgrade ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER `t ERES19-0173 CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ISSUED: 6/7/2019 x v ATLANTIC BEACH. FL 32233 EXPIRES: 12/4/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' CODE, ' OF BEACH CODEOF • ' ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 2281 N FAIRWAY VILLAS LN ELECTRICAL RESIDENTIAL ELECTRIC SERVICE UP GRADE $1500.00 TYPE OF • • GROUP: 169398 1094 FAIRWAY VILLAS COMPANY: ADDRESS: CITY: STATE: ZIP: INTEGRITY FIRST ELECTRIC 920 8TH AVENUE SOUTH, #D JACKSONVILLE FL 32250 COMPANY BEACH • ADDRESS: MOULTON PAUL DOUGLAS 2281 FAIRWAY VILLAS LA N ATLANTIC BEACH FL 32233 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF • . Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC SERVICE CHANGE 455-0000-322-1000 200 $50.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $109.00 Issued Date:6/7/2019 1 of 2 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER r; CITY OF ATLANTIC BEACH ERES19-0173 f Vr 800 SEMINOLE ROAD ISSUED: 6/7/2019 ATLANTIC BEACH, FL 32233 EXPIRES: 12/4/2019 Issued Date: 6/7/2019 2 of 2 ELECTRICAL PERMIT BEN BEACH IO CITY OF ATLANTIC 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904)247-5826 Fax (904)247-5845 E �S ��'-• PERMIT# JOB ADDRESS. Z 2- G"/'LA) JEA INFORMATION REQUIRED ON ALL PERMITS �J© AMPS 14L/U VOLTS I PHASE VALUE OF WORK$ 15� NEW SERVICE ❑ Overhead Underground ❑1 Underground up Pole Residential (Main)Service is amps # of Meters 0-100 amps 101-150amps Commercial(Main)Service CT Service amps 0-100 amps 101-150amps 151-200amps amps Conductor Type Size Multi-Family(Main)Service # of Unit Meters 0-100 amps 101-l 50amps 151-200am _______amps Ps Temporary Pole KLO-1111ps ampsSERVICE UPGRADE CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps i 150amps 200amps amps CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. outlets/Switches: 0-30amps 31-I00amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits a kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS Swimming Pool Sign Smoke Detectors_Qty Transformers KVA 17 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can Safety Inspection Panel Change !OH to UG i 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 certifythat 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. nn m pu� �d n� J 1� Property Owners Name �(�I! `O�' �'�n Phone Number I1 Electrical Company •�� r Office Phone`i�tl-' '1b lC(C J`fax Co. Address: I'V S City f c Stater(— ZipJ% '�'�rl License Holder(Print): Z1_1A &1__ State Certification/Registration Notarized Signature of Liceirse Holder Epson efore me this -day of lailk 20� Cwm's"i GG 201191 �AAa ignature of Notary Publ' n'`----- • tMnM1 TMi TM F*Muw»AO04"19