1723 Maritime Oak Dr new elec permit 0
CITY OF ATLANTIC BEACH
s 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: ERES17-0100
Description: NEW SERVICE-200 AMPS,240 VOLTS, SINGLE PHASE
Estimated Value: 0
Issue Date: 8/16/2017
Expiration Date: 2/12/2018
PROPERTY ADDRESS:
Address: 1723 MARITIME OAK DR
RE Number: 169505 1775
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 12276 SAN JOSE BLVD STE 120
JACKSONVILLE, FL 32223
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MCDO14ALD 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
Ph(904)247-5826 Fax (904)247-5845 E 2 IS 17- O 1 OCA
JOBADDRESB: / -123 0mc /)e- PERMIT#I I7SfR- P82•S—
JEA INFORMATION REQUIRED ON ALL PERMITS Z W AMTS Z_(0 VOLTS l/ PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead I_I.vnderground QI Underground op Pole
:Rssideutiai(Main)Service
❑0-100 amps -101-150amps E�-:15 !-_____amps #of Meters
CCommercial(Main)Service
^0-100amps =101-150amps 'u151-200amps - Emps _CTService amps
Conductor Type Sire
❑Multi-Family(Main)Service
GO-100amps 101-150amps ❑151-200amps - amps of Unit Meters
-Temporary Pole ❑ amps
SERVICE UPGRADE amps - CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
C 100 amps G 150amps ^_200amps amps ECT Service_amps
ADDITIONS,REMODELS,REPAIRS,HUILD-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: Z # circuits Q— kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECT§Q
_Swimming Pool 7— Sign :�9Coke Detectors ZQty ^:Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of pleas)
Qty_volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can !_Safety Inspection -,Panel Change EOHto UG
,Other.
s
Permit becomes vosd Rtvork sloes not oommenm withvrasic month period or vork is suspended or abandoned for six momhs. l licreb ,i�I
read this application and know the same to be true and correct All provisions of latus and ordinances governing this work gill becomplied,,ah whether
specified or not The permit dam not give authority to violate the provisions orally other state or local law regulation consanction orthe performance of
construction
Property Owners Name Ri V v .lLL �.�ywS Phone Number
Electrical Company Mt/d—'4
Office Phone Fax
Co.Address: _ '77- 11 y,,, �co,,,w City J State Pl- Zip '?ZtJ
License Holder(Print): C1.A✓ State C� tion/Registration# L'GCXaU n9 5�
Notarised Signature of License Holder— ee4yt
M e11
CHRIS M.THOMAS worn and subscribed before me this 16'1= day of f)�Jy., f 2011
'i°, `'n Notary Public-state al Florida
Commission a FF 943955 ignatlue of Notary Public
'? " My Comm.Expires Dec 15.2019
••�••t`^•, Banded througl Nattonal NotaryAssn.