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174 13TH ST - ELECTRIC UPGRADE -S�-1jyr r° i CITY OF ATLANTIC BEACH �- ' 800 SEMINOLE ROAD �� �� ATLANTIC BEACH, FL 32233 �!0;3>>%' INSPECTION PHONE LINE 247-5814 ELECTRICAL RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ERES18-0297 Description: Service Upgrade Estimated Value: 1500 Issue Date: 9/7/2018 Expiration Date: 3/6/2019 PROPERTY ADDRESS: Address: 174 13TH ST RE Number: 171831 0000 PROPERTY OWNER: Name: Allison Forsyth Address: 174 13th GENERAL CONTRACTOR INFORMATION: Name: Address: , Phone: Name: NGUYEN ELECTRIC CONTRACTOR, LLC Address: 1602 Lockend RD JACKSONVILLE, FL 32221 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$7,500. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 / Ph(904) 247-5826 Fax(904)247-5845 �-7 JOB ADDRESS: /4 ! G,/ i' fl /; /CG/ PERMIT/01,087-6217 , f/4.01 j c-I JEA INFORMATION REQUIRED ON ALL PERMITS ot 0 O AMPS 2cf 0 VOLTS / PHASE VALUE OF WORK$ /6.--c%6 NEW SERVICE t5 Overhead n Underground nT Underground up Pole Residential(Main)Service ❑O-100 amps ❑101-150amps fril-I200amps ❑ amps #of Meters ❑Commercial(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps DCT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE [?i 02 0 0 amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps 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 @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool Sign CI Smoke Detectors Qty ❑Transformers KVA Motors lip FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can II Safety Inspection ❑Panel Change DOH 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 /4!// U h Ft r S 3 At_ Phone Number?Oc(- c13c/- 6'2&' Electrical Company 4t9'ei t/ / /tc /iAlied c,P Office Phone ?° ---w- l.4 Co.Address:e O ' /De of/ City in-XI State fi Zip License Holder(Print): i e/ 7'L /e/4 / State Certification/Registration# t '7500 7J J Notarized Signature of License Holder - __ < • `��"___ orn and subscribed •.efor- m-Is 7 e . - •• 20 , .... • 70?li GiNDLESPERGE.R 46 ;.: MY COMMISSION#FF 924951 y.' EXPIRES:October 6,2019 Signature of NotaryPublic O %� ,tP Pf N ''� Bonded Thru Notary Public Underwriters \