410 SKATE RD - ELECTRIC ` , CITY OF ATLANTIC BEACH
's> 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Aon c-) ''' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0181
Description: 150 amps/240 volts/single-phase- remodel 38 outlets
Estimated Value: 1200
Issue Date: 11/6/2017
Expiration Date: 5/5/2018
PROPERTY ADDRESS:
Address: 410 SKATE RD
RE Number: 171557 0000
PROPERTY OWNER:
Name: ARCHIPELAGO IMMOBILIEN LLC
Address: 1140 20TH ST N
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: WIREWORKERS, INC
Address: 9989 LEAHY RD QA CHRITOPHER J RIPA
JACKSONVILLE, FL 32246
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
1 Ph (904)247-5826 Fax (904) 247-5845 E e�511 —OL$(
JOB ADDRESS: I+ 10 S kc4r..., et). PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 1'SZ.) AMPS 2-40 VOLTS I PHASE
VALUE OF WORK$ / 2-00.00
NEW SERVICE ❑ Overhead ❑ Underground n1 Underground up Pole
[_1Residential(Main) Service
H0-100 amps '.101-150amps 1151-200amps ! amps #of Meters
Commercial(Main) Service
DO-100 amps 101-150amps 151-200amps u amps ;CT Service amps
Conductor Type Size
H Multi-Family(Main) Service
10-100 amps 1 101-150amps !1151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE 1_; amps H CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
111100 amps ❑150amps i1200amps amps HCT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: `3� 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
r Swimming Pool Sign 1Smoke Detectors_Qty H Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
f 1 Replace Burnt/Damaged Meter Can _;Safety Inspection Panel Change 'OH to UG
LiOther: AlUmt11Jm I-0 Gof Per- Pi5--k-afIs q.-+- Oo4-1e+5i swi fcties
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. /� i j
Property Owners Name /4-r6h I PL' 1 a (O T�rub' hew)1C Phone Number
Electrical Company W i irsCiWO V .t' C i TC h C. Office Phone Z 3 7—tZ Fax
Ct 53 r:1 J— II' F�. City �U?C State L Zip3 2z4
Co. Address: �
1 •
License Holder(Print): rlsr0 h htAi *GI State ifkcation/Registration# Eg130I3381
N. tarized Si nature of License Holder ` •ftp y,t e.L., x .
.........',,. SUSAN GISPANSKI worn and subscribed before e this 647 ay of/VcjeYn� 20 /7
s Notary Public-State of Florida
- Commission•GG 020102 ignature of Notary Public dieivK--, a771-44-
;��.. ' My Comm.Expires Nov 1,2020
Ih A'"''- Bonded through National Notary Assn.