133 BEACH AVE - ELECTRIC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
,V �r ATLANTIC BEACH, FL 32233
l'2:O t 9' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0087
Description: 12 OUTLETS/SWITCHES IN GUEST HOUSE
Estimated Value: 0
Issue Date: 8/8/2017
Expiration Date: 2/4/2018
PROPERTY ADDRESS:
Address: 133 BEACH AVE
RE Number: 170213 0000
PROPERTY OWNER:
Name: SCROGINS WILLIAM C
Address: 2000 CHEROKEE DR
NEPTUNE BEACH, FL 32266
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
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. �,`
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pater
L'Li!;L I IU(;AL YEHMI'1 APPLICATION
CITY OF ATLANTIC BEACH
33 800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845 &_ (RCS ( 7_vcv7
JOB ADDRESS: / /X PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 0200 AMPS (24-0 VOLTS I PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead Li Underground Lj1 Underground up Pole
R.esideetial(Main)Service
.0-100 amps . 10l-150amps 151-200amps _. amps # of Meters
• Commercial(Main)Service
0-100 amps 101-150amps 151-200amps amps CT Service- amps
Conductor Type Size
::Multi-Family(Main)Service
0-100 amps 101-150amps . 151-200amps _„ amps #of Unit Meters
. Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
' 100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: /;1-, 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: _ µ0-60atnps 61-100amps
Heat Circuits: # circuits a kw/
Number of Lighting Outlets, Including Fixtures: (oP-. ,
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 S
REPAIRS/MISCELLANEOUS
...Replace Bumt/Damaged Meter Can ' Safety Inspection Panel Change OH to UG
"l Other:
Permit bccomes void if work docs 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 Iay.s and ordinances governing this work will be complied with whether
specified or not. The permit does not give authorit> to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name (I, ( (--- - C_(—C) i .c\--� Phone Number
q
Electrical Company . 't . -_ --- %! lL . G-- Office Phoney 247- p Fax 747'!��7
� - .-.... SIA/4.-
Co.Address: SIA/4.- City )4- l&i,. State Ft Zip 322-
License Holder(Print): VL CAR kr State Certification/Registration# Ca13G1 25-0/3
.--
Notarized
rNotarized Signature of License Holder 1
Sworn and subscribed before me this --rof �'�a'� 20
Signature of Notary Public
Tway McCue Poison
'"' MA. NOTARY MA=
SPATE Of FLORIDA
=-Come*F"'n':9798
Expires 11/12/2017