83 NICOLE LN - ELECTRIC (,,---
lit� , , CITY OF ATLANTIC BEACH
is1r" y 800 SEMINOLE ROAD
73VATLANTIC BEACH, FL 32233
"4Oil S) INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0159
Description: BREAKER CHANGE
Estimated Value: 0
Issue Date: 10/17/2017
Expiration Date: 4/15/2018
PROPERTY ADDRESS:
Address: 83 NICOLE LN
RE Number: 169519 0825
PROPERTY OWNER:
Name: WALSH SUSAN
Address: 83 NICOLE LN
ATLANTIC BEACH, FL 32233-5979
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: R & R ELECTRIC COMPANY
Address: P 0 BOX 60665 P.O. BOX 60665
JACKSONVILLE, FL 32236
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$7,500.
Jus-am.,i au�AL 1 11,1\1•11.1 riii r L1l.A l 1131\1
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
• Qg Ph (904) 247-5826 Fax (904) 247-5845 E R ES (7-O (Sc
JOB ADDRESS: N \ VV'
...,1 1 PERMIT#
,TEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE.
VALUE OF WORK$
NEW SERVICE ❑ Overhead , 'J Underground J Underground up Pole
!Residential (Main)Service
❑0-100 amps Cl 101-150amps Li 151-200amps [ i amps #of Meters
!Commercial(Main)Service
_-!0-100 amps -i 101-150amps i=i 151-200amps ❑I amps H CT Service amps
Conductor Type Size
[1 Multi-Family(Main)Service
❑0-100 amps [-i 101-150amps 1151-200amps Li amps #of Unit Meters
I!Temporary Pole P amps
SERVICE UPGRADE Ci amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100 amps 11150amps 11J200amps amps QCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30atnps 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
Hi Swimming Pool Ci Sign [1Smoke Detectors Qty nTransformers KVA 17Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
•
Qty volts/amps VALUE OF WORK$ fn 0 •
REPAIRS/MISCELLANEOUS
I1Replace Burnt/Damagedp /� Meter (C,a�n C1 Safety Inspection LPanel Change DOH to UG
!.=!Other:� Y1) Q�-C,i Ch a_v1 o -t...
Permit becomes void if work does not commence within a six math 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.
SI 1 ;
Property Owners Name Q ,� L t -
Phone Numberm
Electrical Company �� le.-C/41/1C, O k 'W ` U(Ad.& Office Phone RV`1 LQ�-5Fax
V
2o. AddressPD Y b 4 ueCO c City JQ.SOnvi(4 State t- Zip 3. 340,
License Holder(Print): e61 p 4- 4- S4.11 (p' J f State Certification/Registration#
Votarized Signature of License Holder G!G O 444
1;4,.:ii,: KAREN G HENDERSO re me this IC ' day of 0 C 20 /-7
4 c MY COMMISSION#GG080261
EXPIRES March 07,2026iature of Notary Public i y