1878 Seminole Rd electrical panel change permit ri�l�ylJ y3
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
v~ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0157
Description: PANEL CHANGE
Estimated Value: 0
Issue Date: 10/13/2017
Expiration Date: 4/11/2018
PROPERTY ADDRESS:
Address: 1878 SEMINOLE RD
RE Number: 172020 0522
PROPERTY OWNER:
Name: HAYES EMMELINE
Address: 1878 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5916
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: RIVER CITY ELEC CONTRACTORS
Address: 12496 NE GATELY OAKS L QA JOHN MICHAEL SCIOLINO
JACKSONVILLE, FL 32225
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)2417-5826 Fax (904)247-5845
JOB ADDRESS: ( —1 o S�,,-� ,N o PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITSy AMPS Zqo VOLTS PHASE
VALUE OF WORK$ 36D -vim
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps 0C Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 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
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection anel Change OOH to UG
❑Other:
?ermit 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
•ead 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
:onstruction.
'roperty Owners Name _ C_P�A—L r JOwyllll e5phone Number
'electrical Company �Z J.1-C C � , �In! Office Phone �� ( — O(7 SF
;o.Address: 2�Z� `���� rC_CC • City at-P . StateR( Zip 3 ZCj-?3
,icense Holder(Print): 0\-- �_ �— tate Certification/Registration#
JO `4. °p��.,,�
KIM COOK j
rp; Notary Public-State of Florida
_ re is l 5 da of Dry 20�_
Commission#r FF 92034 y
' eTz My Comm.Expires Jan 15,20 ature of Not PU
.. d`` Bonded through Natuna!Notary AKsh`
t