1969 Beach Ave meter can electrical permit i�=L'ii
i, j
J s f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
Vr
Y 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: ERES17-0202
Description: REPLACE METER CAN
Estimated Value: 0
Issue Date: 12/4/2017
Expiration Date: 6/2/2018
PROPERTY ADDRESS:
Address: 1969 BEACH AVE
RE Number: 169698 0000
PROPERTY OWNER:
Name: GREIDER JACK L JR
Address: 1969 BEACH AVE
ATLANTIC BEACH, FL 32233-5936
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FIRST CHOICE ELECTRIC INC
Address: 716 N VALLEY FORGE RD QA LAWRENCE DAVID THOMAS
NEPTUNE BEACH, FL 32266
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
.TOB ADDRESS: ) 1) (0 9 � A V G PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS Z_C AMPS Zqb VOLTS i PHASE
VALUE OF WORK$ X 9(30
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
[]Residential(Main)Service
E10-100 amps 1110 1-I 50amps ❑151-200amps []-amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps [110 1-1 50amps ❑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 31-1 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
El Replace Burnt/Damaged Meter Can [I Safety Inspection, ❑Panel Change ❑OH to UG
❑Other: ev��ue.
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 :Tc,'-a— Cyr Phone Number aX*J;**l
Electrical Company F, P-Tr C1N61 C.a l P e r G Office Phone -z. k-133( Fax
Co.Address: '� I (- �a��cy F`an 'c !J City 1�1reok g ick State FL Zip 12"(.
License Holder (Print): Le.wvt,.�c�, l�•a�,.�ps ate Certification/Registration# Cc-2619,-
Notarized
619,-Notarized Sig-nature-of License Holder -:!S oma.
TONI GIMLESPERGER efore me this 4 day o
;: MY COMMISSION#FF 925951
EXPIRES:October 6,2019
°:?p.? ;: bended Thru Notary Pudic underwriters Signature of Notary Public