1832 HICKORY LN - ELECTRIC ,rY ' � CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
1 0;3 9%' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0123
0 Description: CEILING FAN
Estimated Value: 0
Issue Date: 9/14/2017
4 Expiration Date: 3/13/2018
PROPERTY ADDRESS:
Address: 1832 HICKORY LN
RE Number: 172020 1450
PROPERTY OWNER:
Name: ARNAO ANTHONY L
Address: 1832 HICKORY LN
ATLANTIC BEACH, FL 32233-4515
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: INTEGRITY FIRST ELECTRIC CO
Address: 116 SEAGRAPE DR WALTER HAYNES
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$7,500.
II
1
ELECTRICAL PERMIT APPLICATION G R -C--- S ( 7- CJ (Z3
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 ! 7 /2/140,1)
Ph(904)247-5826 Fax (904)247-5845 3 6 Y O
JOB ADDRESS: ,i �j —C kO✓ LA PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORKS 3()O
NEW SERVICE ❑ Overhead ❑ Underground nl Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps iu 151-200amps amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps El 151-200amps ❑ amps #of Unit Meters
❑Temporary Pole f 1 amps
SERVICE UPGRADE f I amps [ ; CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw ��� 0,1- Pc-,-�
Number of Lighting Outlets, Including Fixtures: I C Q d 1 rni
OTHER ELECTRICAL PROJECTS
❑Swimming Pool Sign ❑Smoke Detectors_Qty Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
LI Replace Burnt/Damaged Meter Can ❑Safety Inspection [J Panel Change Li 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 does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name 1 n C'n � n t- rkcL.0 Phone Number
r II
Electrical Company �V/ie514I J7 t'i'S I' Ve rie/C Office Phone q U(1 2q ,—c .?
Co.Address: 920,0 e /'/rv(e 5, City 54X Pei State A i i p,?2 2sv
License Holder(Print): a l )44. / yi.iejsState Certification/Registration#jL/goo�3tr
Notarized Signature of License Holder
OIN�L J IMIVIN B ore me this lZ day of 20 / 7
-' AAE PIKE ammonite•f'M7$77
EXPIRES�.rrr�. Si nature of NotaryPublic
,$Mrp»a4+53 fNnMNu $.t610.qr.