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1662 E Park Ter TEMP20-0029 App I ��t ' 't r ALttiNPd11AAT10N• Electrical Permit Application •� }IIGHUGHTEQIN- i , � , • •;F.GM i5 REQUIRE13: : City of Atlantic Beach Building Department • :: ' _ .. ... . 800 Seminole Rd,Atlantic Beach, FL 32233 �rn•Qzo -o022 '--- Phone: (904) 247-5826 Email: Building-Dept@ coab.us PERMIT n: i.:-,i :PROJECT VALUE$ `�+0 d i JOB ADDRESS:'1662 Pant T,erraCal=ast `�::. � t__.... __......,,i.,-,.4-:.,._ ' ..._f.._._.. f� � •...... ........... .`isr , ' 134 `"' VOLTS b..',c.:.1 PHASE JEA INFORMATION REQUIRED ON ALL PERMITS:13bA •:r::AMPS, .���b �'' i 1 El NEW SERVICE: i 0 Overhead Underground OUnderground up Pole • C tesidential(Main)Service: 00-100 amps i,. D101-150amps ©151-200amps ll amps #of Meters OCommercial(Main)Service: Service amps I0-100 amps: 0101-150amps 0151-200amps © amps DCT Conductor Type Size • • DMulti-Family(Main)Service: 0D-100 amps i 0101-150amps 0151-200amps Cr amps #of Unit Meters D TEMPORARY POLE: 40 amps ❑SERVICE UPGRADE:0 amps OCT Service amps ❑NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.): 0100 amps 1:1150amps 0200amps 0 amps OCT Service amps ❑ADDITIONS,REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES,ETC: Outlets/Switches: 0-30amps 31-100amps 101-200a mps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: i #circuits @ kw Number of Lighting Outlets, Including Fixtures: 0 OTHER ELECTRICAL PROJECTS: • OSwimming Pool[']Sign OSmoke Detectors (Qty) ❑transformers KVA []Motors HP 0 FIRE ALARM SYSTEM(Requires 3 sets of plans): Qty volts/amps 0 REPAIRS/MISCELLANEOUS: ' ❑Replace Burnt/Damaged Meter Can OSafety Inspection panel Change OOH to UG updated 10/17/18 [lather: Permit becomes void if work does not commence within a six month period or work Is suspended or abandoned fdr 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. :.NOfth.FldiidaB�liiders 1. '-^4 . ,•71 Phone Number:• t'.`:;' ,. . :7.2..._ Owner Name: '' " � ��� -eo4a ' `' tiiG ....." :%ee•13e Electrical Company:iJUrio ?_5 .-. rri'EWalk- � ' t 'office Phone: : 'ts._- Fax , --; ,: : , • -• ami ' . 70,51 State:1t :-a4 Zip:I ? t.: Co.Address 3434 St.'AugusliriO!R 1_ '.f'.:, , .,.G ri,l ' :w Njrk� .i City:l im.€h�.a.t.. 3+.,�ta. r tstratlon# ��' License Holder:'John'S�cio1iriA :7-';,-7-------'7 ,I TT —~-^'State Certification/Reg ' • '•,(./� .-:'' —7-- :F -s !...:s r *r }-ti o-4 ,••�lq.aj:... r J'•,' v__ nail Notarized Signature of License Holder Y.,;' :._._.. 'l e The foregoing instrument was acknowledged before me this ay`f J0�20 ' the State of Florida,County of 11(V of NotaryPublic �Cti✓ ei.--6 ; Signature `'V'� [lersonally Known OR[ ]Produced Identification tARY4s Tammy Dennard ‘'� "§�o NOTARY PUBLIC Type of Identification: t>.. .STATE OF FLORIDA a''' Kt"i Comm#GG168521 • .._.-ti b-- Expires 121.1.4I2R2-1_---J ` Electrical Permit Application P ."V`+tebiii6:R_M/1T'ON,. ! ,t�`� I -`i1GHllHTtDi(V . , . City of Atlantic Beach Building Department •.. •10bNY SItEcIYIla q•:.+ -:-.i uY°. : ,. • 800 Seminole Rd, Atlantic Beach, FL 32233 iv Phone: (904)247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS''1002 Pad TetraCe:East `'• .; PROJECT VALUE$,; 5,0 ii•6a JEA INFORMATION REQUIRED ON ALL PERMITS:W:71AMPS pr..]VOLTS if `')PHASE • NEW SERVICE: t ©Overhead IZiUnderground ©Underground up Pole i. CResidential(Main)Service: 00-100 amps 17.01-150amps ©151-200amps Gl 300 amps U of Meters DCommerciai(Main)Service: 00-100 amps L 0101-1S0amps 0151-200amps ['_,__amps OCT Service amps Conductor Type • Size LiMulti-Family(Main)Service: OD-100 amps i 0101-150amps 0151-200amps 10 amps tt of Unit Meters D TEMPORARY POLE: 40 amps i 0 SERVICE UPGRADE:❑ amps OCT Service amps ACCESSORY STRUCTURES,ETC.): ❑ NEW FEEDER(ADDITIONS, 0100 amps D150amps D200amps 0 amps MT-Service amps ❑ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC: Outlets/Switches:; 0-30amps 31-100amps 101-200amps Appliances: ! 0-30amps 31-100amps 101-200amps A/C Circuits: l 0-60amps 61-100amps Heat Circuits: ' IS circuits @ kw Number of Lighting Outlets, Including Fixtures: i ' 0 OTHER ELECTRICAL PROJECTS: ❑Swimming Pool['Sign ['Smoke Detectors (Oty) ❑Transformers KVA ❑Motors HP 1 0 FIRE ALARM SYSTEM(Requires 3 sets of plans): Qty volts/amps i REPAIRS/MISCELLANEOUS: ['Replace Burnt/Damaged Meter Can ['Safety Inspection Panel Change DOH to UG Updated 10/17/18 tether: - Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. —,.. ,--. -.,. ,. '...:!,.4. —. . 7-� :- ..- ,,. Owner Name:'Norti Rlorl.da..Builders.,.:: . . ..:! . .. . . +:I Phone Number:V] 1-=..;•.x:1:.: •-- . �l _IL,,It;Alid'liiia r, �'--r+ , '+ 3904138 Electrical Company:l � eCtrto':`-7w`-'''�'�`�` ��i.Offlce Phone:ite$'gj'3�a�e> r.`�+ .`ri,�`>: �''�`•,:^., Fax -— _ Co.Address: 3484 st,Att�60f.ujjtd. , ..,:t:47'71.,"777_ .... T 'N' :S City:V!i`i. .71.E : ..''..14'71/••]. State: ;'.r•..,Zip:; 2707::.;.;1r' '6":4•§`:77"7/T-'''''.-4-75r""' ' � -'7 State Certification/Registration#:;SF 7"' i License Holder:�,13?�ln $cl�iln . �-- 1- 4-'2'''-' ._SZ.__. ---- ,,b: " y":`e:�,.�1� :731 F :a.1,•!:17.i,�rri7+t1rr' 1.�. :,;1:,..4; ' Notarized Signature of License Holder,+. .. ... The foregoing instrument wa's acknowledged before me this2Q day. i _A e,:. 0-__, State of Florida, unty of, °'T Signet a of Notary Public / -fra • [ ersonally Known OR[ I Produced identification Tammy Dennard Type of Identification: i.:0:Niir_Rty::0" NOTARYPUBLICI! '• STATE OF FLORIDAComm#GG168521 wkcE 19�b Expires 12/14/2021