1871 SELVA MARINA DR - ELECTRIC „,.,A.y;.
\,.., ,,...at,d CITY OF ATLANTIC BEACH
,,,,....
800 SEMINOLE ROAD
,v ATLANTIC BEACH, FL 32233
"�r J3 0 INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0090
Description: ELECTRIC 4 SWITCHES/OUTLETS
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1871 SELVA MARINA DR
RE Number: 172020 0846
PROPERTY OWNER:
Name: POWELL GREGORY M
Address: 1871 SELVA MARINA DR
ATLANTIC BEACH, FL 32233-5619
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: RIVER CITY ELECTRIC INC
Address: 2825 HOLLYBAY RD QA JOHN REX COOK
ORANGE PARK, FL 32073
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 n�_c
Ph(904) 247-5826 Fax(904) 247-5845 E I�tri5(7"bo 1q
b
JOB ADDRESS: Y6 q l " Q___\\...)0... i" `Otic\.i �� - PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Fc-0 AMPS Z kC O VOLTS C PHASE
VALUE OF WORK S 300 • u0
NEW SERVICE 0 Overhead n Underground J Underground up Pole
DResidential(Main) Service
00-100 amps 0101-150amps 0151-200amps I amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps 0151-200amps I amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps amps #of Unit Meters
LI Temporary Pole [J amps
SERVICE UPGRADE ❑ amps El CT.Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
C 100 amps 0 150amps 0200amps ❑_ amps [ CT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: L 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: q
OTHER ELECTRICAL PROJECTS
El Swimming Pool E Sign L Smoke Detectors_Qty : Transformers KVA U Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can Safety Inspection ❑Panel Change ❑OH to UG
❑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 docs not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Named Phone Number
Electrical Company \1�--pV�--C1 •^L - Office Phone CC)t�� Fax
Fax
Co. Address: 2,8Z-1- c`L� q---& City State Zip �Zc�7
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License Holder(Print): - _ State Certification/Registration# - '`�
No :z 7 r
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_;, 1,;�.= Notary
CommissPublic
on#State
FF 92031`' 3E. efore me this '� day of 20 ``7
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