603 Selva Lakes Cir 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 ME)(T DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0032
Description: remodel 10 oulets/switches&2 appliances
Estimated Value: 1200
Issue Date: 6/5/2017
Expiration Date: 12[212017
PROPERTY ADDRESS:
Address: 603 SELVA LAKES CIR
RE Number: 1720275544
k6PERTYCMYNER:
Name: WATTS ANN C
Address: 603 SELVA LAKES CIR
ATLANTIC BEACH, FIL 32233-4378
GENERAL CONTRACrOR INFOR14ATION:
Name: BACCK ELECTRIC LLC
Address: P 0 BOX 6053
JACKSONVILLE, FL32236
Phone: 9044227442
Name:
Address:
Phone: bO44227442
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILUREA 0 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 UVAC 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 -oo �a I
JOB ADDRESS: 6 03 Se IVA L P,%( S r . P � �c PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS -.00-0—AMPS -L--y---)-/0VOLTS PHASE
VAL UE OF WORK S IJ Cr,� 0-
NEw SERVICE El Overhead F1 Underground E3 Underground up Pole
lResidential(Main)Service
1 0-100 mpg �!101-150amps +U51-200amps i I—Mps #of Meters
L 1commercial(Main)Service
[10-100amps 1101-150amps 11 151-200amps 1 1----amps 11CTServica_=ps
Conductor Type size—
I Imulti-Family(Main)Service
, 0-100 amps 11101-150arips U151-200anips [1______amps #of Unit Meters
Temporary Pole 11--------jamps
SERVICE UPGRADE I I------umps 11 CT Service_mpg
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100arps 11200amps I]-----Amps I ler service—amps
ADDMONS,RFMODELS,REPAIR,
%BUILD-OUTS,ACCESSORY STRUCTURES'ETC'
Outlets/Switches: 10 0-30amps 31-100amps —101-200amps
Appliances: -�0-30amps 31-100amps 101-200amps
A/C Circuits: —0-60amps 61-100amps
Heat Circuits: # circuits ra) kw
Number of Lightinii—outi-ts, finciudingF—ixtures:
OTHM ELECTRICAL PROJECTS
LlSvvimaningPool �! Sign [iSmokeDetectm—Qty IlTransfbaners KVA [!Motoo_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/amps— VALUE OF WORK
REPAMS/ABSCELLANEOUS
I lReplace Hunit/Dantaged Meter Can I Safety Inspection LIParelChange 110HtoUG
,40ther: 6a,h o� �Lk�. S-1 at fa reg),-, M�e- wall 'Ut
Pernit beconnes,.id if work does not coantence within a set:month Penoa or wom is suspended or abandoned for six months. I hereby certify that I heve
read this application andlatowtho sarew betoreand oornect. All pmvisionsof laws end ordinances governingthis work will be complied with whether
specified or not The peroft does not give notwrity to vioiate the provisions of an,other state or local law�regulation construction or the peribrogince of
construction.
property Ovniers Name A M Phone Number
ElectricalCompoo)'36ce Eircic '. Office Phone -46 41(.
Co.Address: !;'.3 2 4 oc S4 S r city ,/,, ice, Ll f State j(L Zip li��
License Holder(Print): — State Certification/Registration# I T 00 4?q
Notarized Signature of License Z --r-1
0 and subscribed before this ayof /1 2ol-7
KNOERLY OLMO
,,yCoWA$gJePd#FF199330 Si e of Notary Public
FXPMSFete,�IZ20%
Cash Register Receipt R1692
City of Atlantic Beach
PAID
------ CITY $69.00
PermitTRAK IR APN- 172027 5544 $69.00
ERES17-0032 Address:603 SELVA LAKES C $6�DO
$5500
ELECTRICAL — 11111 2-1000 0 $4.00
ELECTRICAL BASE FEE 455-00(011:: ;�; -1000 0 $6.00
ELEC APPLIANCES FIXED OR 5 IONERY 0
ELEC S"""AND RECEPTACLE OUTLETS 455-ODX�322-1000 $4.00
OMRGES $2.00
STATESUR 455-0000 2C I —-U j
STATE DBPR SURCHARGE
I�Tl 1� .......
Date Paid:Monday,June 05,2017
Paid By:BACCK ELECTRIC LLC
cashier:BA ——————————
pay Method:CREDIT CARD 2 ..........
Printed:Monday,JUne 05,2017 9:25 AM i of 1
FcmOF klanc%EACH
f TT
ATL!BOB SHHOLE RD
gNM
WgC BEK,FL 32233
CREDIT CNRD
VISA SALE
Cad# WVDIVN3
SEQ 2
W#: 378
IMOICE 2
Apgoval Code B54491
Erty MeW Maul
Odw
Tax kfma sox
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Card W: M
CUSTOMER COPY