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1878 SEMINOLE RD ERES20-0234 Electrical Permit Application **ALL INFORMATION ,rf HIGHLIGHTED IN ,:: ),„;(7 City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 ERE 320-02 34 -�r'``'')r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 18178 SEMINOLE RD i g - PROJECT VALUE $$4,000.00 JEA INFORMATION REQUIRED ON ALL PERMITS: 150 AMPS 240 VOLTS 1 PHASE El NEW SERVICE: 0 Overhead DUnderground DUnderground up Pole DResidential (Main)Service: 00-100 amps D101-150amps 0151-200amps ❑ amps #of Meters ❑Commercial (Main)Service: 00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps Conductor Type Size ©Multi-Family(Main) Service: 1:10-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters 11 TEMPORARY POLE: amps Eil SERVICE UPGRADE: ❑ amps OCT Service amps Lt (_ r-7 NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): Tc, ,__, 0100 r,?,_- ❑100 amps ❑150amps 0200amps 0 amps ❑CT Service amps ❑✓ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches:80 0-30amps 31-100amps 101-200amps Appliances: 4 0-30amps 31-100amps 101-200amps A/C Circuits: 1 0-60amps 61-100amps Heat Circuits: 1 # circuits @ 10 kw Number of Lighting Outlets, Including Fixtures: 12 1-1 OTHER ELECTRICAL PROJECTS: ❑Swimming Pool OSign ElSmoke Detectors 4 (Qty) ❑Transformers KVA ❑Motors HP n FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps n REPAIRS/MISCELLANEOUS: ['Replace Burnt/Damaged Meter Can OSafety Inspection ❑Panel Change DOH to UG Dither: Updated 10/17/18 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. Owner Name: MIDDLETON, CATHERINE W. Phone Number: C104-248-Bcilor1 Electrical Company: ISLAND ELECTRIC OF THE FIRST COAST, LLC Office Phone: 246-9085 Fax: Co.Address: 628 5th AVE N City: JAX BEACH State: FL Zip: 32250 License Holder: JOHNSON B. REEP State Certification/Registration#: EC13007394 22 , Notarized Signature of License Holder ,10440�i1.0 v� - � � ,:,. rs. w43 , rift The • n•••! .• •••• . •• • d before me this day o „AI • 0 he State of Florida, County of .1- ,,i)0(1./1 :!F. g" TONI GINULESPERGER 1 ; c„ MY COMMISSION#GG 353178 ' gnature of Notary Put ' r.. — - ::;;, . ;o` EXPIRES.October 6,2023 9Ff.�,"•° Ronda ThruNotary Public Underwriters ] Personally Known OR [ ] Produced Identification ype of Identification: �\-Th