190 CLUB ELEC 2017 t L,lv.
CITY OF ATLANTIC BEACH
t 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: ERES17-0057
Description: 20 SWITCHES, 8 FIXTURES
Estimated Value: 0
Issue Date: 7/5/2017
Expiration Date: 1/1/2018
PROPERTY ADDRESS:
Address: 190 CLUB DR
RE Number: 170316 0000
PROPERTY OWNER:
Name: MAHLER JOHN E
Address: 190 CLUB DR
ATLANTIC BEACH, FL 32233-5420
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
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 G R ES ►7 00,57
Phn(904)247-58226rFax
f�((9F04)�4),l247-55z88445
JOBADDRESS: 10g � PERMIT# fPn 37SU
JEA INFORMATION REQUIRED ON ALL PERMITS (JPO AMPS VOLTS PHASE
VALUE OF WORK$4j., 00�44__
NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole
❑Residential(Main)Service
UO-100 amps 0101-150amps 0151-200amps 0—amps #of Meters_
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0—amps OCT Service,amps
Conductor Type Size
--
[]Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps El—amps #of Unit Meters_
❑Temporary Pole.[]`amps
SERVICE UPGRADE O—amps O C-r service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0_amps OCT Service_amps
ADDITIONS,REMODELS.REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _,7--y 0-30amps 31-100amps - _101-200amps
Appliances: _0-30amps 31-100amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits Qkw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool 0 Sign ❑Smoke Detectors_Qty ❑Transformers KVA OMomrs_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
UOther:
permit becomes void if work docamn commence within a six month period or work is suspended or abandoned for sox months. thereby certify that l be"
read this application and know the sacro 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 giveauthority to violate the provisions of any other stare or local law regulation construction or the performance of
construction. 1 1'a�,,�c{
Property Owners Name Juin �gu�m Phone Number��I�Cl
Electrical CompanyT T- r ( (c 4 N� Office Phone{)o4)367' k7G `F'a'x[c(iA)1/,7�549
Co.Address:273r- 7/�l t t� RD, City C C t Sa �r<- State�Zip 322e,
License Holder(Print):l t.FR(?t.ES W. I ->"ttNGIK � SmteC ' tato egishation#L�C/3�32G�
Notarized Signature of"--nse "-r'__� ��
Sworn and subscribed before me- s—'A day of _—20A
DaNu A Ennis Signature of Notary Public `'IA
NOTARY PUBLIC
STATE OF FLORIDA
Comm#FP9W2s _.
E.'Ores 3/1/2020