759 SAILFISH DR - SAFETY INSPECTION r CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
\J ATLANTIC BEACH, FL 32233
o;i>>%' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0033
Description: safety inspection
Estimated Value: 350
Issue Date: 6/5/2017
Expiration Date: 12/2/2017
PROPERTY ADDRESS:
Address: 759 SAILFISH DR
RE Number: 171236 0000
PROPERTY OWNER:
Name: BARTLEY LAWILDA
Address: 4424 ELLIPSE DR
JACKSONVILLE, FL 32246
GENERAL CONTRACTOR INFORMATION:
Name: CLG ELECTRICAL CONTRACTORS LLC
Address: 453 GRAMPIAN HIGHLANDS DR
JACKSONVILLE, FL32259
Phone: 9046227179
Name:
Address:
Phone: 9046227179
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH R -
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826Fax(904)247-5845 t 2& S(1 _0O3
JOB ADDRESS: F75°/ sq t 1 f!S 11 Pr; Ile.Ile. A I1,Qri7�"c thgdt, 1 FL 32 233 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS sae AMPS Z40 VOLTS 195 PHASE
VALUE OF WORK$ 350 00
NEW SERVICE ❑ Overhead ❑ Underground nT Underground up Pole
❑Residential(Main) Service
❑0-100 amps 1 101-150amps ❑151-200amps ❑ amps #of Meters
0 Commercial(Main)Service
00-100 amps 0 101-150amps ❑151-200amps ❑ amps !CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0.101-150amps i 151-200amps amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps El CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool 0 Sign ❑Smoke Detectors Qty OTransformers KVA LI Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can afety Inspection ❑Panel Change ❑OH to UG
❑Other:
•
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 .E Phe s ian s 13arlk Y Phone Number yo`{ 652- 94 54
Electrical Company C l G E/ tCal C&&.i fro c.)''rS LIC Office Phone /6 622 7/79 Fax
Co.Address: 453 GraMelan %illanJi1s d!'. City Cafe -Jotif.S State FL Zip 3225
License Holder(Print): CAeLaS LY -2. State Certification/Registration# .E413014638
Notarized Signature of License Holder
Before me this / ;' day of 1I2 .. 20 )/7
.41•°; , YOLANDA M.VAROAS /'4w
* ..c_ * MY COMMISSION 1 FF 032636 Signature of Notary Publicdier A_
i EXPIRES:July 4,2017
.0), 4.-
Bonded Thru Budget Notary Services