1089 MAIN ST ELEC 2017 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-.r;t INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0056
Description: 200 amps/240 volts/single phase-remodel switch&fixture
Estimated Value: 300
Issue Date: 7/3/2017
Expiration Date: 12/30/2017
PROPERTY ADDRESS:
Address: 1089 MAIN ST
RE Number: 170997 0000
PROPERTY OWNER:
Name: PERRY BETH ANN
Address: 1089 MAIN ST
ATLANTIC BEACH, FL 32233-2623
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ELECTRIC PLUS
Address: 11199 LAKE BLUFF RD 5358 LOSCO ROAD
JACKSONVILLE, FL 32257
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
`` II Ph(904)247-5826 Fax (904)247-5845
.TOB ADDRESS:—[&V//11�Q M Q I h 5+ ' PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS `_AMPS ::]lyQ VOLTS _�_PHASE
YALUEOFWURK$ 300"'
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
OResidential(Main)Service
00-100 amps E1101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service —
00-100 amps 0101-150amps 0151-200amps ❑ amps ❑CTServios amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps —
SERVICE UPGRADE ❑ amps O CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service—amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _'-0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-IOOamps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits Q kw
Number of Lighting Outlets, Including Fixtures:4—
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAILS/NISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG "�
0Ot'e - Ce\ �lna V, r#' I FCTD� on back Porch
?ermit becomes void if work does not commence within a six mon or work is suspended or abandoned for six months. I hereby certify that I have
cad 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 my other state or local law regulation wnstruction or the performance of
;onstruction. Q ��l
aroperty Owners Name Be 1.j.I i No pcff ( Phone Number
electrical Company I eG�rl f�'P\J S +n C, Office Phone 9_A4=rFl3-DV ax
1
;o.Address: t 1 �(9 LQ ke l�'U'� 1�1 City, State_Zip
,icense Holder(Print): lw)Shj to Certifi tio
Sn/Registmtion#
Jolarized Signature gfLicense Holder
JENNIFEaJ NSTON Before me this _day of 11& 20�
MTCOMMISaIes RGG Ot19aa
p? PxvnEs:omnar zr,ono Signature No .�-
v: �+, mmeamuNnay Puam ua.n„w. !'� of tory Public �