1158 OCEAN BLVD - TAKING OVER ELECTRIC NEW SERVICE AlL ' f jfa
x CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
4-t INSPECTION PHONE LINE247 5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0199
Description: TAKING OVER PERMIT ERES17-0058
Estimated Value: 0
Issue Date: 11/29/2017
Expiration Date: 5/28/2018
PROPERTY ADDRESS:
Address: 1158 OCEAN BLVD
RE Number: 170287 0000
PROPERTY OWNER:
Name: SHAD KERRY A ET AL
Address: 202 FALKNER DR
CHAPEL HILL, NC 27517
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: UNITED ELECTRIC COMPANY OF
Address: 5716 ST AUGUSTINE RD JACKSONVILLEI5716 ST.
AUGUSTINE ROAD
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$7,500.
ELECTRICAL PERMIT APPLICATION ,T- 9 2-7
CITY OF ATLANTIC BEACH .
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax (904) 247-5845. ER CS l-7—0 C '
JOB ADDRESS: 1 15 f 0 e. t?a n 31 V. PERMIT# R C.C 11- 00
JEA INFORMATION REQUIRED ON ALL PERMITS . O AMPS /8014D VOLTS '/, PHASE
'VALUE OF WORK$
NEW SERVICE E Overhead E Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps %51-200amps 0 amps # of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service •
00-100 amps. -- ❑101-150amps 0151-200amps 0 amps #of Unit Meters
❑Temporary Pole 0 amps .
SERVICE UPGRADE 0 amps 0 CT Service , amps
NEW FEEDER(ADDITIONS,,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amp s 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amps 101-200amps
Appliances: 0-30amps 31-I00amps 101-200amps
- A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors Qty 0 Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: Tr: M W I r ;nj JO/K. Un El c Per, ; )--)- CRCs n - a 5-i
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 5\c..,X, 1< Q r r-7 R' E fi AL_ Phone Number a 1 9 - yl 8 9
Electrical Company UAC tJ E'itGTn c... Go o f JG )c Office Phone 131- (ILie Fax 7 3) -531)
Co.Address: 57 16 S-)- . 14Loy6-)-;"- 12) City 3-c06 • State PL Zip 3220?
License Holder(Print): i-i. (1/1'r a c.!// •i'o I State Certification/Registration# C-13 0 0 53 G
Notarized Signature of License Holder I 1--) l
Pu A",,,w. "` .„-.3y"�"`.`= Sworn and subscribed before me t 's ag'� day of D I/ 20 17
.4.,,,„1,0 BRENDA K.GRIFFIN E'
r T MY COAG"rlss=_ON r rria7f5s` Signature of Notary Public / r ��
c`� t• 4:' 0;RES:pli 23,1018
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