1600 Selva Marina Dr temporary electrical permit for temporary tent M,
n CITY OF ATLANTIC BEACH
i 800 SEMINOLE ROAD
" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY SEPARATE ELECTRIC PLANS -
J MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
�1 PERMIT INFORMATION:
PERMIT NO: ELEC17-0009
Description: TEMP POWER FOR TENT-GENERATORS
Estimated Value: 0
Issue Date: 9/20/2017
Expiration Date: 3/19/2018
PROPERTY ADDRESS:
Address: 1600 SELVA MARINA DR
RE Number: 172000 0010
PROPERTY OWNER:
Name: ATLANTIC BEACH COUNTRY CLUB INC
Address: 1600 SELVA MARINA DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MILLER ELECTRIC COMPANY
Address: 2251 ROSSELLE ST OA JOSEPH AUGUSTUS ENGLISH
JACKSONVILLE, FL 32201
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 !,oQ
Ph(904)247-5826 Fax(904)247-5845 [. e �" V
JOBADDRESS: /G00 ScLM rM,4 INA be Ailmltc Lac4i—Fl— PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK 8
NEW SERVICE ❑ Overhead ❑ Underground QI Underground up Pole
;Residential(Main)Service
—0-100 amps [1101-150amps 0151-200amps 0—amps #of Meters_
('.Commercial(Main)Service
'.:0-100 amps 1101-150amps 0151-200amps ❑_amps 7CT Service amps
Conductor Type Size
f�Multi-Family(Main)Service
00-100amps D101-150amps 0151-200amps J_amps #of Unit Meters_
']Temporary Pole J—alaps
SERVICE UPGRADE Damps OCT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
O100amps 0150amps 0200amps El------amps ❑CTService_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-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: # circuits Qa kw
Number of Lighting Outiets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
-CiSwimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA OMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK E
REPAIRS/MISCELLANEOUS
-Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change GOHpto UO
EM '� C
`Other: / P - l >FR e'9A' TyntIW047
//
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 we and contract. 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 ofany other state or local law regulation construction or the performance of
COOS[NCtIOn. C
fFFlan1-'c /17CXIch W' vtny_,,,CIuIO Phone Number OICY-372-22ZZ
Property Owners Name r- /a
Electrical Companyti A hp- Elaeelkl LO�/J�_Uffice Phone 9'99m Fax /R?9
Co. Address: 2251 Rase/% S7' City JAckeoluur//e State a-zip 3Zzo
License Holder(Print): ' a ` I c LA-,*) State Certification/Registration#EC1300r17$SS
Notarized Signature of License Holder
LISA x WHITE Sworn and subscribed before me this (g' day of J'E H 'e. _20 1-'7
Notary Public,Stale of Florida
My Corm Expirues/16121 Signature of Notary Public
Commiscbn Na.00r1SSSZ