825 SHERRY DR - ELECTRIC s CITY OF ATLANTIC BEACH
�`' 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
7-5
, Y INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0075
Description: NEW SERVICE 200 AMPS, 240 VOLTS, SINGLE PHASE
Estimated Value:
Issue Date: 7/25/2017
7
/21/201/25/2017
Expiration Date:
8
PROPERTY ADDRESS:
Address: 825 SHERRY DR
RE Number: 169983 0000
PROPERTY OWNER: GRAY ADAM R
Name:
Address: 826 9TH AVE N
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: OWEN ELECTRIC CO INC
Address: 1775 LAKESIDE AVE QA MICKY GERALD OWEN
ST.AUGUSTINE, FL 32084
Phone:
PERMIT INFORMATION:
Please see attached conditions of a••roval.
WARNING TO OWNER: YOUR FAILURE TO RECORD INOTICE IOF
COMMENCEMENT MAY RESULT IN YOU
PAYING TWE OR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTEDDONOTHE JN
ON
B
SITE BEFORE THE FIRST INSPECTION. IF ER OR AN ATTORNEY
FINANCING, CONSULT WITH YOUR NOTICE OF COMMENCEMENT.
BEFORE RECORDING YOURvalue of
* A notice of Commencement is only required for work exceeding
ng an
when HVAC work
$2,500. For HVAC work,value of$7,500.Commencement is onlyrequired
exceeds and estimate
ELECTRICAL PERMIT APPLICATION /2e ff ere,..c e 9 ,/d...9 m 1/
CITY OF ATLANTIC BEACH /V, RES',7- 00 g3
800 Seminole Rd, Atlantic Beach,FL 32233
Ph (904)247-5826 Fax (904)247-5845
JOB ADDRESS: 9 2 5 S)re'v-r Pr. Al-1ct,c 13e..-c/- , fL cREsc7-bb '3 2 2 3 3 PERMIT# 75
JEA INFORMATION REQUIRED ON ALL PERMITS 2 00 AMPS 2.'t(0 VOLTS 1 PHASE
VALUE OF WORKS 5, Doo
NEW SERVICE 0 Overhead d Underground ❑I Underground up Pole
IVResidential(Main) Service /
[10-100 amps 1 1101-150amps [If151-200amps ❑ amps # of Meters
L:Commercial(Main)Service
L0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
0 Multi-Family(Main)Service
l'0-100 amps 0101-150amps 0151-200amps f I amps #of Unit Meters
I..)Temporary Pole II amps
SERVICE UPGRADE [I amps I. CT Service____amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
G 100 amps D 150amps il200amps C amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits (a) kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
LiSwimming Pool 0 Sign 0 Smoke Detectors_Qty :Transformers KVA iMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
UReplace Burnt/Damaged Meter Can OSafety Inspection ;Panel Change LOH to UG
O Other:
Permit 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 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 permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Ad..., Gray Pho e u er 9 0"/- 50 2--293*
Electrical Company Ow en E1eJ .c.
_1 Pho
1*'` . Office P •ne? 142 -99`f' Fax9uy'92L-/566
Co. Address: 11 -i 5 l c,kes.c{e Ave- City Si-. C-14,1-hen. State fi- Zip 3108y
License Holder(Print): M I(--14-) Cr Own to - Certiicatio r ' �gi'tration# EC 0000993
Notarized Signature of License Holder ` / /l-"1C
• • i� vl 2011
,,;.`: ____•_1• and subscribed be re me tht: /9 ay f
:,�• �„ DEANA sr.JfgN
..,zt .r_ MY COMMISSION I FF O (}
"mat EXPIRES:December 17 19m. e of Notary Public
.o. 9,!dh. f3onoedThruL arypudeUn ...lr rs