185 Sherry Dr elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0023
Description: electrical for kitchen remodel
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 185 SHERRY DR
RE Number: 189798 0000
PROPERTY OWNER:
Name: SILVIUS RICHARD P
Address: 185 SHERRY DR
ATLANTIC BEACH, FL 32233-5235
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ISLAND ELECTRIC OF THE FIRST C
Address: P.O. Box 50636
JACKSONVILLE BEACH, FL 32250
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC REACH
800 Seminole Rd,Atlantic Beach,FL 32233
,�rPh(904)247-5826 Fax (904)247-5845 15— SI'� _ D04R
JoBADDREss: Lp.OS 30gpx- QfL. - PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
110-100 amps E1101-150amps ❑151-200amps []-----_amps #of Meters
❑Commercial(Main)Service
00-100 amps D101-150amps 0151-200amps ❑ amps ❑CT Service amps
Conductor Type Sim
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
OTemporary Pole ❑ amps
SERVICE UPGRADE ❑ 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/Switchm: b 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: 3
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can []Safety Inspection ❑Panel Change ❑OH to UG
❑Other: JC Ir I�&MMO FE-
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 Net I have
read this application and know the same N 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.
PropertyOwners Name L rNAA St G N I V S Phone Number 2'(4' 690 T
Electrical Company ISMNd F46TU& Office Phone Zg640$5'
Fax
Co.Address: M BOX 044(is City sIAR.&b(, State `L• Zip S2 Ljb
License Holder(Print): W>'9 p 8• State Certification/Registration# 8e-13007 3q j
Notarized Sin tr,r derSENcJ�v Y•
, arcannus�sioa�aNcc oersea eforemethis
_ I�_day of 20 14
rxruaEs:alma,n.zozo
.trF e ^T^�a"^'r Pd0o1"itlenN1eA ignatare of Notary Public
.f �'/ 10
ipt Number
O
RegisterCash . ,
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City
f Atlantic Beach
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $73.80
ERES17-0023 Address: 185 SHERRY DR APN: 1697980000 $73.80
ELECTRICAL $69.80
ELECTRICAL BASE FEE 455-0000.322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 2 $1.20
FIXTURES
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $10.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $3.60
STATESURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000.208-0600 0 $2.00
STATE DCA SURCHARGE 455-0000.208-0700 0 $2.00
TOTAL FEES PAID BY RECEIPT: •1 $73.80
Date Paid: Monday, May 22, 2017
Paid By: ISLAND ELECTRIC OF THE FIRST C
Cashier: Ci
Pay Method: CREDIT CARD 052912
Printed:Monday,May 22,201712:23 PM 1 of 1 Ir