606 DAVID ELEC 2017 ?t'"L
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: ERES17-0055
Description: 4 OUTLETS 8 6 SWITCHES
Estimated Value: 0
Issue Date: 7/5/2017
Expiration Date: 1/1/2018
PROPERTY ADDRESS:
Address: 606 DAVID ST
RE Number: 170622 0100
PROPERTY OWNER:
Name: CANTRELL MARK
Address: 606 DAVID ST
ATLANTIC BEACH, FL 32233
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Rd, Atlantic Beach,FL 32233
rY�� rr Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: �a lJ W ��V 1 D 1 ^t PERMIT# F— RE.SI r`/_
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
V4LUE0FW0PK$
NEW SERVICE ❑ Overhead - ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-15oamps ❑151-200amps 11-------amps #of Meters
[]Commercial(Main)Service
110-100amps D101-150amps ❑151-200amps ❑ amps ❑CTService amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 0101-150amps 11151-200amps ❑ amps #of Unit Meters
[]Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service_maps
ADDITIONS,REMODELS,REPAIRS,BUH.D-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switch": 6 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: _may
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:
Permit becomes void ff 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 pemut does not give authority to violate the provisions ofany other state or local law regulation construction or the performance of
construction.
Property Owners Name 1% 8p K C porf4c&L Phone Number
Electrical Company�L!/JVt^� Rc7rLl>f7 Office Phone Fax
Co.Address: City State_Zip
License Holder(Print): 'tate Certi egistration#
Notarized Signature of License Hofder
:;""•v tn
JENMRRJC*lWT( efore me this `��n�
fR,••"'t<:3. day 20
Y: MYOOMMBSIONt GG a119H
Z ignature of Notary Public
I