1530 Selva Marina Dr panel change permit f f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4113M FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0158
Description: 100 amps/120-240 volts/single-phase- panel change
Estimated Value: 0
Issue Date: 10/16/2017
Expiration Date: 4/14/2018
PROPERTY ADDRESS:
Address: 1530 SELVA MARINA DR
RE Number: 171985 0000
PROPERTY OWNER:
Name: MOFFITT JOHN
Address: 1530 SELVA MARINA DR
ATLANTIC BEACH, FL 32233-5614
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FRANKLIN ELECTRIC SERVICE
Address: 4 TALLWOOD RD QA JARRETT ADAM FRANKLIN
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 L L S
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: h5 3C 5'E L11.& rM,\121,.s �, PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 10 0 AMPS I1 U10 VOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential(Main) Service
0 -100 amps 101 -150amps 151 -200amps amps # of Meters
Commercial(Main) Service
0 -100 amps 101 -150amps 151 -200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0 -100 amps 101 -150amps 151 -200amps amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty Transformers KVA Motors _hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Wanel Change 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 VAtc 6E leo FFI 1 i Phone Number 51a 7
Electrical Company Ctt&PY-1-t1J CIECF/U C 5e�166 Office Phone 6V-(01_�r Fax
Co.Address: 9. O. 'Ov5c 5 )Z 3? City J� 6CJ State & Zip ZZY o
License Holder (Print): TAfZ24!T Y--zt� State Certification/Registration# E1E130/3O�$
NatgrizCd.Signer older
JENNIFER JOHNSTON (� O(,
MY COMMISSION#GG 042984 Sworn and subscribed before me this day of 20 f
EXPIRES:October 2T,2020
'"f WA ��P' Bwded Th.Notary P.M.Underwriters Signature of Notary Public