295 BELVEDERE ST - ELECTRIC RELOCATE Js " .•,`. CITY OF ATLANTIC BEACH
As 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
k r;; ,P INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0136
Description:
Estimated Value: 3000
Issue Date: 9/25/2017
Expiration Date: 3/24/2018
PROPERTY ADDRESS:
Address: 295 BELVEDERE ST
RE Number: 170501 0000
PROPERTY OWNER:
Name: HEZEL STEPHANIE A
Address: 295 BELVEDERE ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: PAGEMASTERS ELECTRICAL INC
Address: 45102 MUSSLEWHITE RD TIMOTHY K PAGE
CALLAHAN, FL 32011
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
0 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
IIexceeds and estimated value of$7,500.
4
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: c2 P5 £e /V e Cir e S --V. PERMIT#
4-riA-,vr; r Rc-4 - I I 3 -23-
JEA INFORMATION REQUIRED ON ALL PERMITS ADO AMPS e„2+-( 0 VOLTS C PHASE
PVALUE OF WORK$ 0 O 0 o—
NEW SERVICE E Overhead n Underground E J Underground up Pole
❑Residential (Main)Service
❑0-100 amps ❑101-150amps O 151-200am ps _1 amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps n 151-200amps amps OCT Service amps
Conductor Type Size
C Multi-Family(Main)Service
0-100 amps ❑101-150amps 151-200amps ❑ amps #of Unit Meters
:Temporary Pole O amps
SERVICE UPGRADE O amps _J CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps L200amps Li amps I ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: /0 0-3 Damps /0 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: 4—
OTHER ELECTRICAL PROJECTS
Swimming Pool O Sign ❑Smoke Detectors Qty Transformers KVA `-1Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Ell Replace Burnt/Damaged Meter Can Safety Inspection ❑Panel Change OOH to UG
i_!Other: P-`-1I to c.,4-re c( S v i Ce
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 S4.2 e A a ti 1,e Phone Number
Electrical Company Pa 4,P v�Fps ic s g' cefT)t-.'ciil( -L`"'("Office Phone GfBq-433-90Vax
Co. Address: VS-/D a /amu S /I,t/L 1.P /Q cl. City CA-11/2I rht1 State f( Zip .101 0 /7
License Holder(Print): 1 r '/rio y 4 . o.g to Certification/Registration# €k/30/a 9 SS
Notarized Signature of License Holder 7,g--A4,..---17
e7 c'
A11•I
I4iii GRACE MACKEY Befor me this Al' day of gef klv 20 17
. MY COMMISSION#GG 042989 1
:, ,:p EXPIRES:October 27,2020 Signature of Notary Public
10:tii, At t Bonded'Nu Notary Public Underwriters