88 Ocean Blvd - Electrical permit r
CITY OF ATLANTIC BEACH
} 800 SEMINOLE ROAD
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: ERES17-0182
Description: 200 amps/240 volts/single-phase-add outlet in garage
Estimated Value: 450
Issue Date: 11/7/2017
Expiration Date: 5/6/2018
PROPERTY ADDRESS:
Address: 88 OCEAN BLVD
RE Number: 170225 0010
PROPERTY OWNER:
Name: DOWARD DAVID A
Address: 88 OCEAN BLVD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AMERICAN ELECTRICAL CONTRACTOR
Address: 5065 ST AUGUSTINE RD APT 13 5065 ST. AUGUSTINE RD#13
JACKSONVILLE, FL 32207
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$7,500.
ELECTRICAL PERMIT APPLICATION
Cj-rpt r}F A-'►'�,AN"�'�� )3F:A£ H
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 6f—&Sy'4" b(ga,
JOB ADDRESS: 8 S C a 1'1 `Jt" PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS *Z )U AMPS 2 VOLTS PHASE
VAL UE OF WORK$ � c
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
F1 Residential(Main) Service
CO-100 amps 1101-150amps 1 151-200amps amps #of Meters
I, ',Commercial (Main) Service
C_�0-100 amps L 101-150amps 1 151-200amps amps 7CT Service amps
Conductor Type ___...............__ Size
f:Multi-Family(Main)Service
0-100 amps 1 ;101-150amps 1 151-200amps F amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE [.::I amps L CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
17100 amps L 150amps L200amps ..i amps GCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD- UTS,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 @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool L Sign I ISmoke Detectors_Qty ❑Transformers KVA I ]Motors,____hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
FReplace Burnt/Damaged Meter Can Safety Inspection ❑Panel Change Cl OH to UG
Other: (I `j-� �.-�—-- Utj
--
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for sax months. 1 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 IJGLV 1 d � 1 t�Q 1' d t 'Phone Number �7 -•'J`61 --lU, F,
Electrical Company�PX I C an � `-eG'�Y 1 C a I I �'l�b ric Phone-131 -1-110 Fax-1M- 11799
Co.Address:S� �'A " 3 c 2 rty �ax State Zip '5-22-6-7
License Holder(Print): St Certification/Registration# A:4-
Notarized SiglAgg Woj, License Holder
V/4, NOTARY PUBLIC •/ 20STATE OF FLORIDA S orn and.subscribed orethisd , oComm#GG068924Expires 2/212021 Signature of Notary Pu lic
J Cash Register Receipt
„r
J of
• • •
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $61.00
ERES17-0182 Address: 88 OCEAN BLVD APN: 170225 0010 $61.00
ELECTRICAL $57.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $2.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL • . $61.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
11/07!2017 15:33:03
CREDIT CARD
MC SALE
Card# XXVXXX=X1482
SEQ#; 14
Batch#: 479
INVOICE 14
Approval Code: 986945
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Cust Code:
Card Code: M
SALE AMOUNT $611
CUSTOMER COPY
Date Paid:Tuesday, November 07, 2017
Paid By: AMERICAN ELECTRICAL CONTRACTOR
Cashier: BA
Pay Method: CREDIT CARD 14
/([
Printed:Tuesday,November 07,2017 3:35 PM 1 of 1 1
muc,,