1798 Atlantic Beach Dr new electrical permit .^ CITY OF ATLANTIC BEACH
r� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0099
Description: NEW SERVICE-200 AMP, 240 VOLTS, SINGLE PHASE
Estimated Value: 0
Issue Date: 8/16/2017
Expiration Date: 2/12/2018
PROPERTY ADDRESS:
Address: 1798 ATLANTIC BEACH DR
RE Number. 169505 1620
PROPERTY OWNER:
Name: JEFFREY S BERICHON FAMILY TRUST
Address: 1798 ATLANTIC BEACH DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MCDONALD ELECTRIC
Address: 6915 WEST BEAVER ST CIA LARRY BRIAN CARTER
JACKSONVILLE, FL 32254
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 ��5
Ph(904)247-5826 Fax(904)247-5845 7 -0099
JOB ADDRESS:_ l'?48 reh(c c, a )^ ), PERMIT# PCs l7- o080
JEA INFORMATION REQUIRED ON ALL PERMITS ZLx AMPS ZVU VOLTS _PHASE
VALUEOFWORKS 7000•UU
NEW SERVICE ❑ Overhead ErUndergrourand Ql Undetgrerand up Pole
DReside rtfal(Main)Service
00-100 amps C 101-150amps 9151-200amps amps #of Meters
ECommerciatt(Main)Service
70-100 amps 0101-150amps 0151-200amps - amps -,CT Service amps
Conductor Type Sim —
CMulti-Family(Main)Service
L;0-100amps ,'101-150amps D151-200amps - amps #of Unit Meters
�=Temporary Pole ❑ amps
SERVICE UPGRADE amps - CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
7100amps D:150amps 0200amps _ amps CCTService—amps
ADDITIONS,REMODELS,REPAERS,BUIim-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: W0-30amps 31-100amps 101-200amps
Appliances: JS0-30amps 31-100amps 101-200amps
A/C Circuits: _;' 0-60amps 61-100amps
Heat Circuits: t # circuits Q--<- -kw
Number of Lighting Outlets, Including Fixtures: bZ
OTHER ELECTRICAL PROJECTS
Swimming Pool CSign 3Smoke Detectors ZQty rTmnsformers KVA --Motors_hp
FIRE ALARM SYSTEM (Requires 3 sels of plans)
Qty—volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
i'Replace Burm/Damaged Meter Can -Safety Inspection -Panel Change __-OH to UG
Other:
Permit becomes void if work does not wmmence within asix month period a-,vork s susprndcd or abandoned for s&monurs. Iherebc ccrif Ilial ilia c
read this application and know the some ba be true and convaL All provisions of lams and ordinances governing this work will be complied with whether
specified or not The permit docs not give authority w violate the previsions of any other state or local law regulation construction orihe performance er
constmldion. of
Property Owners Name Phone Number
Electrical Company M4NJO L^6- 41N Office Phone Fax 766-!463''/
Co.Address: j2rt w. / ,,.., City J.'ra-ye State /z- Zip 33eert/
License Holder(Print): Cer rr*r'� State C 'fi 'on/Registration# L-"z(Y"l'� 1-79,/
Notarized Signature of License Holder
CHRIS M:1H MAS Swore and subscribbefore me this 16 day of /•��r.l + 201-1
•P m%, Notary public- e o1 Florida 947955 ignamre of Notary Public
ec 15.2019 NMaiy assn.