610 Sturdivant Ave elec panel change permit CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
erg T INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0071
Description: 100 amps/120-240 volts/single-phase-panel change
Estimated Value: 800
Issue Date: 7/17/2017
Expiration Date: 1/13/2018
PROPERTY ADDRESS:
Address: 610 STURDIVANT AVE
RE Number: 170669 0000
PROPERTY OWNER:
Name: BYNUM KRISTINA ETAL
Address: 81 ENGLISH LN
HUNTINGTON, CT 06484-5363
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FRANKLIN ELECTRIC SERVICE
Address: 4 TALLWOOD RD QA JARRETT ADAM FRANKLIN
JACKSONVILLE BEACH, FL 32250
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
.TOB ADDRESS: (p 10 51%)XVI VAPT AVC PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZOO AMPS 12gleyovOLTS _�_PHASE
VALUE OF WORK$ $OD-pO
NEW SERVICE ❑ Overhead ❑ Underground ❑l Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100amps 0101-150amps 0151-200amps ❑ amps ❑CTService amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service_maps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service_amps
ADDMONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits (a) kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps - VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Brunt/Damaged Meter Can ❑Safety Inspection V*2anel Change ❑OH to UG
❑Other:
'armit becomes void if work does not commence within a six month period or work is suspended or abandoned for sin months. I hereby certify that I have
ead 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
:onst uction.
'roperty Owners Name OQi0.400 61OV OAlr- Phone Number 993 '14D
ilectrical Company GAJJYUA3 E'tEtT A1C ,W_0WIC,C Office Phone G29-49Z$- Fax
;o.Address: City 'JAIL BUL State Zip�ZZ4
,icense Holder(Print): A2 N State Certification/Registration# Ettt3 t91 B 098
Jotari a der
co.. s JOHNatea
_ My couu�ssiouecc azsas efor et l ' f�da5' of �tl20 —I�/r,_
E%PIKES:alaEet 2T,alal �
.'. aoaaaarl.uusrnPtm..rara ignature of Notary Public --
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