1941 SEMINOLE RD - ELECTRIC REPAIR ,,,,,,,,,„
ittYs1, CITY OF ATLANTIC BEACH
t-.r s 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
K
;s v' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0125
Description: REPLACE SERVICE CABLE FROM TRANSFORMER TO METER
CAN
y Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1941 SEMINOLE RD
RE Number: 169542 0520
PROPERTY OWNER:
Name: LUCAS DAVID 0
Address: 1941 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5917
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DAVID GRAY ELECTRICAL SERVICES INC
Address: 6491 Powers AVE STE 1
JACKSONVILLE, FL 32217
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TORECORD IGA OTICE C OF
COMMENCEMENT MAY RESULT IN YOUPAYING
R
IMPROVEMENTS TO YOUR PROAND POSTY. A NOTICEED
D ON THE JOB
F
COMMENCEMENT MUST BE RECORDED
SITE BEFORE THE FIRST INSPECTION. IF YOU I TENAAD TORN YTO IN
FINANCING, CONSULT WITH YOUR LENDER OR
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 I
Ph (904)_4247-5826 Fax (904)247-5845 ERE_cJ 17 _
JOB ADDRESS: l Lit Semi n Di e RO - PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 000 AMPS p 1 O VOLTS J PHASE
VALUE OF WORK$ dt-0 D
NEW SERVICE ❑ Overhead ❑ Underground [Ti Underground up Pole
!Residential(Main) Service #of Meters
' 10-100 amps '.i 10 l-150amps 151-200amps amps
=1Commercial(Main)Service
iJ0-100 amps :101-150amps '151-200amps amps CT Service amps
Conductor Type Size
!Multi-Family(Main)Service s #of Unit Meters
110-100 amps i 101-150amps 151-200amps amps
:Temporary Pole I . amps
SERVICE UPGRADE : ! amps I . CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) e.
100 amps I !150amps I i200amps I . amps ,CT Service amps 0'
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. < � .
Outlets/Switches: 0-30amps 3 I-I 00amps 1 01-200amps 0-0 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 Transformers KVA • Motors hp
!Swimming Pool ' ' Sign ; Smoke Detectors Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
( iReplace Burnt/Damaged Meter Can i !Safety Inspection !Panel Channgee ;OH to UG
thee. \OCL Z VI Ce UAW_ ;foYyN -fi(G-(O"/v1f( ka (Y)e,-{--(/ CC Y
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 JDaVi a Lu co Phone Number q04 -37Q -9(.4..1
Electrical Company Do is ri(U.i eledt CCAl Office Phone qOy"90.(1i. .ilFax Mc 50/-3"Cs')
Co. Address: Oy
CI 1 POLO'(. Ave • City,t CXSf/l tk State rt_ Zip 1 9
License Holder(Print): $rand on G,bb5 State Certification/Registration# [CI 30 O(.a I Lo!
Notarized Signature of License Holder 12—R--- ,k1 )..6
ASHLEY FARRIS Sworn and subscribed before me this I day of Seihnlb Z 20 11
NOTARY PUBLIC —
,- STATE OF FLORIDA Signature of Notary Public
•4--.,, Carta*FF130606 ,
Expires 6/8/2018