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353 355 2nd St new elec permit 'f CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 r�cc) INSPECTION PHONE LINE 247-5814 ELECTRICAL RESIDENTIAL - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ERES18-0027 Description: 150 amps/240 volts/single-phase- new service Estimated Value: 0 Issue Date: 1/29/2018 Expiration Date: 7/28/2018 PROPERTY ADDRESS: Address: 353 355 2ND ST RE Number: 169786 0000 PROPERTY OWNER: Name: JOHNSON JOANN Address: 181 PROCTORS PURCHASE RD HARTLY, DE 19953 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: AMERICAN ELECTRICAL CONTRACTOR Address: 5065 ST AUGUSTINE RD APT 13 5065 ST. AUGUSTINE RD#13 JACKSONVILLE, FL 32207 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. * 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$7,500. ELECTRICAL PERMIT APPLICATION CFTV ()V AT!AyTjC j3r:A.('W 800 Seminole Rd, Atlantic Beach, FL 32233 S Ph (904) 247-5826 Fax (904) 247-5845 .TOB ADDRESS: �� o�v7d �� / PERMIT#21D�0/_ JEA INFORMATION REQUIRED ON ALL PERMITSAMPS VOLTS -- VAL UE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole CIResidential (Main)Service CO-100 amps 101-150amps 151-200amps amps #of Meters ,']Commercial(Main)Service -- — C'0-100 amps I '101-150amps 1151-200amps fl amps [QCT Service amps Conductor Type Size Multi-Family(Main)Service _ Lj 0-100 amps I 101 A 50amps 151-200amps [']—amps #of Unit Meters CTemporary Pole --l—amps — — SERVICE UPGRADE ;,�_�gv amps F CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 1.100 amps ❑150amps C200amps J_ amps LICT Service amps ADDITIONS,REMODELS. REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: _'75 - 0-30amps _ 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-l 00amps Heat Circuits: #circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJEgtkc []Swimming Pool L1 Sign Detectors Qty L'Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS LJReplace Burnt/Damaged Meter Cana`fetyInspecfion rhC tUFPanel Change /OH to UG Licher: ��y�ttooS y 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 r( o Phone Number Electrical Company hone % Fax Co.Address: C State Zip License Holder(Print): /� ification/Registration# Notarized Signature of License Holder Anna R Daly Sworn and subscribed b"et�his da ofYQaNOTARY PUBLICY �� 21�STATE OF FLORIDA Signature of Notary Pub Comm#GG068924 •4, t Expires 2/2/2021 RegisterCash • City of Atlantic Beach • DESCRIPTION ACCOUNTCITY PAID PermitTRAK $149.18 ERES18-0027 Address: 353 355 2ND ST APN: 169786 0000 $149.18 ELECTRICAL $145.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC NEW SINGLE FAMILY 455-0000-322-1000 300 $90.00 STATE SURCHARGES $4.18 STATE DBPR SURCHARGE 4S5-0000-208-0600 0 $2.18 STATE DCA SURCHARGE 45500002080700 0 $2.00 •TAL FEES PAID BY RECEIPT: R4060 $149.18 CITY OF ATLANTIC BEACH 800 SEMINOLE RD ATLANTIC BEAC,FL 32233 01/29,x2018 09:08:32 CREDIT CARD MC SALE :ARD# XXXXXX)0(XXXX1482 :INVOICE 0003 SEQ#: 0002 Batch#: 000724 Approval Code: 790587 Enay Method, Mahal Mode: Online 'fax Amount: $0.00 Cust Code: Card Code: M �5ALE AMOUNT $149.18 CUSTOMER COPY Date Paid: Monday, January 29, 2018 Paid By: AMERICAN ELECTRICAL CONTRACTOR Cashier: CB Pay Method: CREDIT CARD 790587 Printed: Monday,January 29,2018 9:09 AM 1 of 1 nror