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1175 SEMINOLE RD -ERES20-0092 M13R-26-2020(THU) 01 : 05 united electric co. (FRX)9047315311 P. 001/001 Electrical Permit Application .... , .-,� -v.-- , ": p. .-_<�;E City of Atlantic Beach Building Department ,• �iiisRoa• ' ��- L 800 Seminole Rd,Atlantic Beach, FL 32233 r"fy- Phone:(904)247-5826 Email: Building-Dept@coab.us PERMIT a: JOB ADDRESS:T. aolesRd.P7i:,, : ''' :,1; 't` `r:�:" ;. -.„.• `?'': '.PROJECT VALUE S'S 406-0;004WZsl:... -a ; JEA INFORMATION REQUIRED ON ALL PERMITS:•6- AMPS 107 VOLTS trlg,, PHASE ❑NEW SERVICE: ID Overhead DUnderground C)Underground up Pole - ICFtesldential(Main)Service: Do-i00 amps 0101-150amps E51-200amps q___amps #of Meters Dcommerclaf(Main)Service: DO-100 amps 0iOi-150amps 0151-200amps (l amps OCT Service amps. Conductor Type Size DMuhi.Family(Main)Service: 0.100 amps D101-150amps 0151-200amps Q amps #of Unit Meters U TEMPORARY POLE: amps El SERVICE UPGRADE:❑ amps on-Service amps ❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC..): 0100 amps 0150amps D200amps 1216Q amps .DT Service amps y Cl ADOmONs,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC: Outlets/Switches:14 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: 12 0 OTHER ELECTRICAL PROJECTS: °Swimming Pool['Sign Chmake Detectors (Qty) Qfransformers KVA ❑Motors HP 0 FIRE ALARM SYSTEM(Requires 3 sets of plans): Qty wits/amps 0 REPAIRS/MISCELLANEOUS: ['Replace Bumt/Damaged Meter Can °Safety Inspection ❑►anel Change OOH to UG [tther:abs listed 60 amp sub-feed is for future pool esuipment Updated 14/17/18 ,Permit becomes void If work does not commence within a six month period or work is suspended or abandoned farsix 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 governingthls 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, Owner Name:ROi LtaiVAr IGICK1f1 ift .^. -„t. sM"}:'-"i�";� .z'. '=?fit' 0= ,�•,� �' � �= Phone Number.� �'�s ���'�:Y,.rs�^ Electrical Company:IlMiRTied iMrafJabliiio`�Iw lie .M;Offke Phone:F2+ roi � ',' ' T7t;;- Fa=7314311 Co.Address:67'ffESTArgiistino,. W 4—:,--:.....--t:rr' a..<,.._,: ..i„ City: tn Y . :Statc;N" J zip: 7 License Holden W iCl eri damsofh q=''1•< .: .4,N '�'w�Yzz=Sb © tecertift [ ion/Registration it: �•��e���'^=� ' Notarized Signature of License Holder Vii? ,1F.R14 /.;4 j� r 2 ,7.1!dlA" 1�s''i:4+aet- t'�'ti'�:;" •.'y;t{;1 'The foregoing Instrument was acimowledged before me this 423 day of • F uoL , Z.g in the 5ta of FI County of DJ t/s-1 Signature of Notary Public /q! I( �:_ BRENDA K.GRIFFIN I Personally Known OR[ I Produced Identification .41/6MY COMMISSION a GGI939S6 Type of Identification: 1 MY EXPIRES.April 23,2022