1158 Ocean Blvd electrical permitPROPERTY ADDRESS:
Address: 1158 OCEAN BLVD
RE Number: 170287 0000
PROPERTY OWNER:
0
CITY OF ATLANTIC BEACH
Address:
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
;1 0'
INSPECTION PHONE LINE 247-5814
BLUE EDGE ELECTRICAL CONTRACTORS
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
JACKSONVILLE, FL32218
PERMIT NO:
ERES17-0058
Description:
200 amps/240 vofts/single-phase - add fixtures & outlets
Estimated Value:
9800
Issue Date:
7/6/2017
Expiration Date:
1/2/2018
PROPERTY ADDRESS:
Address: 1158 OCEAN BLVD
RE Number: 170287 0000
PROPERTY OWNER:
Name:
SHAD KERRY A ET AL
Address:
202 FALKNER OR
CHAPEL HILL, NC 27517
GENERAL CONTRACTOR INFORMATION:
Name:
BLUE EDGE ELECTRICAL CONTRACTORS
Address:
10560 Abilene RD
JACKSONVILLE, FL32218
Phone:
Name:
Address:
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 $7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 p
a Ph (904) 247-5826 Fax (904) 247-5845 L
JOB ADDRESS: IIS% OCean �IVd PERMIT # L'CI -puJZ
JEA INFORMATION REQUIRED ON ALL PERMITS Z 0 AMPS ')H 0 VOLTS I PHASE
NEW SERVICE C] Overhead
OResidentiar(Main) Service
00-100 amps 17101-150amps
❑Commercial (Main) Service
00-100 amps 0101-150amps
Conductor Type
OMulti-Family (Main) Service
00-100 amps 0101-I50amps
OTemporary Pole Oamps
VALUE OF WORK$ gB00.0-0
❑ Underground D Underground up Pole
SERVICE UPGRADE Oamps
0151-200amps 0 amps
❑151-200amps 0 amps
0151-200amps 0 amps
0 CT Service amps
# of Meters
DCT Service _ amps
# of Unit Meters
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0100amps 0150amps 0200amps Damps OCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches:
'10 0-30ampa 31-100amps 101.200amps
Appliances:
2 0.30amps �-31-100amps _101-200amps
A/C Circuits:
F-0-60amps 61-100amps
Heat Circuits:
1 # circuits kw
Number of Lighting Outlets, Including Fixtures:.30
OTHER ELECTRICAL PROJECTS
❑Swimming Pool OSign Q4Smoke Detector Qty OTmnsformers KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty _ volts/amps VALUE OF WORK $
L1 Replace Burm/Damaged Meter Can O Safety Inspection [Panel Change ❑OHto UG
DOther:
Pemtit 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 hev
read this application and knowthemareto be rueand correct. All provision& of laws and ordinances governing this wort will be complied with whether
specificdornot. The permit does not give authority to violate the provisions ofany otherstate or local lewregulaaon construction or the performance of
conanction. r
Property Owners Name �bI 3 W . U L(i* Phone Number 2- (9 I - 4 -k%4 -
Electrical Company Blue Fro e � eG0 Lf I c a Office Phone IOi1O -LSB S Fwt3 •Z��}
Co.Address:1y13 Ogn'o K-1 V)QS 1d City Jay State gyp Zip 3
1111q
License Holder (Print): .J Q ts� U State Certification/Registration #
Notarized Signature o License Holder
ERT MR�tMIM 91d1�i FFwtaos worn and sub afore me this S 77t day of 20 /7
ExPlnes o.amb.r ai roti ignature of Notary Public
r asao�u a
I PermitTRAK $128.00
ERE517-0058 Address: 1158 OCEAN BLVD APN: 1702870000 $128.00
ELECTRICAL
$124.00
ELECTRICAL BASE FEE
455-0000-322-1000
0
$55.00
ELEC SWITCH AND RECEPTACLE OUTLETS
455-0000-322-1000
0
$12.00
ELEC LIGHTING OUTLETS, INCLUDING
FIXTURES
4550000.322-1000
30
$18.00
EIEC APPLIANCES FIXED OR STATIONERY
4550000.322-100D
0
$16.00
ELEC AIR CONDITIONING CIRCUITS
4550000.322-1000
0
$5.00
ELEC HEAT
4550000.322-1000
0
$2.00
ELEC APPLIANCES FIXED OR STATIONERY
455-0000-322-1000
0
$16.00
STATE SURCHARGES
$4.00
STATE DERR SURCHARGE
4550000-208-0600
0
$2.00
STATE DCA SURCHARGE
TOTAL FEES 1
4550000.208-0700
0
$2.OD
$128.00
Date Paid: Thursday, July 06, 2017
Paid By: BLUE EDGE ELECTRICAL CONTRACTO
Cashier: BA
Pay Method: CREDIT CARD 11
Printed: Thursday, July 06, 2017 2:43 PM 10f 1 It
wn
Cm OF ATLANTIC BEACH
80O SEMINOLE RD
ATLANTIC BEAC, FC 37233
0710612017
14.42:43
CREDIT CARD
VISA SNE
Cad u =0= 7991
SEQ A.
10
W#1
400
INVOICE
It
yMnyal Code
042963
EBy MeW
mmll
MDde:
Onlm
Tar Nnank
S0.00
CV¢t Code:
Cad Cade:
M
SALE AMOUNT
$128.00
CUSTOMER COPY