463 SARGO RD - ELECTRIC 0" , _, ^ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
= ATLANTIC BEACH,FL 32233
—4t..)1119'` INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0205
Description: 100 amps, 240 volts, 1 phase
Estimated Value: 1000
Issue Date: 12/5/2017
Expiration Date: 6/3/2018
PROPERTY ADDRESS:
Address: 463 SARGO RD
RE Number: 171498 0000
PROPERTY OWNER:
Name: JOHNSON DIANE
Address: 463 SARGO RD
ATLANTIC BEACH, FL 32233-3815
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MCCLURE ELECTRICAL CONTRACTORS
Address: 537 N 5TH AVE QA ROBERT MCCLURE, JR
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 n
JOB ADDRESS: 4 G'3 SA-r+.t,- CI D• PERMIT# C(2Q S(7—f.:7a5
JEA INFORMATION REQUIRED ON ALL PERMITS 'QO AMPS 24ko VOLTS PHASE
VALUE OF WORK$ )lesdo . crD
NEW SERVICE Overhead n Underground J Underground upPole
g g
Residential (Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps 11101-150amps 0151-200amps ❑ amps 0C Service amps
Conductor Type Size
❑Multi-Family(Main) Service
100-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
[Temporary Pole ❑ amps
SERVICE UPGRADE 24-0111' 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: 0-30amps 31-100arps 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 ❑Panel Change DOH 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 &CIL P•L 4 4J?Lel)f Phone Number
Electrical Company ( \`C.A,v1t- . �`c c.�-n;(a l Office Phone 2 31-41° , Fax
Co.Address: 1511 go. City CCtRNM•+1o(wb GI State rR. Zip 3Z03 k
License Holder (Print): til��c State C-•... ; 'egistration# e(Loco 8 81 8
Notarized Signature of License Holder _ter '
Sworn a.% subsckibAccIbefore me this day of % n - 20 (1
.•iq ��bA4:
GRACE MACKEY rc(llya mew d<v ILIGC_ltio r L. Cpxn c Ow.) \ ,Sk.tcc
- MY COMMISSION#GG 042989 Signature of Notary Public , Q
;.47:ki EXPIRES:October 27,2020
�''e� ?4Q'�• Bonded Thru Notary
Public Underwriters (�rt j -t C� ��L O>rlS G
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