168 SEMINOLE RD - ELECTRIC (2) I, ftF ATLANTIC BEACH
S,, CITY O
, ` r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"L r.1119' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0074
Description: 2 LIGHTS, 2 SWITCHES ON PORCH & LAUNDRY RECEP
Estimated Value: 0
Issue Date: 7/20/2017
Expiration Date: 1/16/2018
PROPERTY ADDRESS:
Address: 168 SEMINOLE RD
RE Number: 170595 0000
PROPERTY OWNER:
Name: HALVORSEN JOSEF D
Address: 168 SEMINOLE RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: SILVER STRAND ELECTRIC INC
Address: 249 MYRA ST QA JOHN BARTEE LOVETT
NEPTUNE BEACH, FL 32266
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 E Res '7-0O 74-
JOB ADDRESS: 1 (Ig M\Mbit (l?A D PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground 1-11 Underground up Pole
Residential(Main) Service
0-100 amps 101-150amps , 151-200amps amps #of Meters
Commercial(Main) Service
0-100 amps 1101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps 1151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE I amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. 1
Outlets/Switches: 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:
OTHER ELECTRICAL PROJECTS t'1
Swimming Pool Sign Smoke Detectors Qty (Transformers KVA Motors hp A,
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS OF
1 ;Replace Burnt/Damaged Meter Can Safety Inspection 1 Panel Change OH to UG
',Other: h 4 .0A LTC cc./c It5-For eG fcln t,T . R e rkar is Qe f l 4 Ca .9aov � 1\°J
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 does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. 1 I
Property Owners Name - 0 e (Al v O r'S C Phone Number (Apo
Electrical Company S i kFer . -1-TXt I) ?-ecTr�'I tt4 C, Office Phone '1O'1"1, Fax
Co. Address:0 yq in r'c. ST'S NCity ) State f). Zip_�
License Holder(Print): ,53)4 N j.�Sve State Certification/Registration# �/ d y'
3
Notarized Signature of License Holder = �� /
.....:Signature
'
, ';. TONI GiNOLESPERGER worn .1 d subscribed before m: 'is Z lit,y of J 1 D L. 20
e,. 6`., MY COMMISSION#FF 924951 1
--; r:.,0'P= EXPIRES:October 6,2019 ow J
5cndcd fi u NotaryPublic Urde carters Signature of Notary Public ` �