1057 BEACH AVE - ELECTRICAL �� ,it
_„ CITY OF ATLANTIC BEACH
r 1- Js> 800 SEMINOLE ROAD
,vzATLANTIC BEACH, FL 32233
'"--ri;3 '% INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0091
Description: 200 amp/240 volts/single-phase-3 outlets & 11 fixtures
Estimated Value: 1000
Issue Date: 8/8/2017
Expiration Date: 2/4/2018
PROPERTY ADDRESS:
Address: 1057 BEACH AVE
RE Number: 170266 0000
PROPERTY OWNER:
Name: LOFF HOWARD J
Address: 1057 BEACH AVE
ATLANTIC BEACH, FL 32233-5753
GENERAL CONTRACTOR INFORMATION:
Name: ISLAND ELECTRIC OF THE FIRST C
Address: P.O. Box 50636
JACKSONVILLE BEACH, FL32250
Phone: 9042469085
Name:
Address:
Phone: 9042469085
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 a-6SI 1 - DCn 1
JOB ADDRESS: /oS 7 SSM 4 vt. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2cc AMPS f ZO/lyG VOLTS / PHASE
VALUE OF WORK$ 4005&'
NEW SERVICE El Overhead El Underground ❑T Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps O 151-200amps O amps #of Meters
0 Commercial(Main)Service —
❑0-100 amps 0101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
0Multi-Family(Main)Service
00-100 amps O 101-150amps ❑151-200amps 0 amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 3 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: .1 1
OTHER ELECTRICAL PROJECTS
❑Swimming Pool 0 Sign ❑Smoke Detectors Qty 0 Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps • VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change ❑OH to UG
OOther: hnrivitjw, ! • f F4 A)j in) 1.9.144) , Eck
"ennit 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
•ead this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will he 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
:onstruction.
'roperty Owners Name /NM/i'lo to PF Phone Number
3,lectrical Company /SLAW r4,16r&;t G pp jq L 6F,S7 Jr Office Phone 2116-g0�Fax
;o.Address: P., 6X f0�36 City J(X .844 , State L. Zip 37,2 4/6
.icense Holder(Print): J ON NSC)N REL! State Certification/Registration# Fie J3067,51
krofari ed i • der 5 t• Y• f
COMMISSION A GG oa2984
� . Y c,",�s JENNIFER JOHNSTON
A
.
.,; MY efore me this day of 1M IA.5 I- 20 1/-
EXPIRES:October 27.2020
V2,,'o;Coe�fBonded Thru Notary Public Underwriters1
ignature of Notary Public �. , ,1,
1