885 SEMINOLE RD - KITCHEN REMODEL ,•j am,t\IP
1.1 A CITY OF ATLANTIC BEACH
a:" 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"!Olt >%' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0219
Description: KITCHEN REMODEL
Estimated Value: 0
Issue Date: 12/22/2017
Expiration Date: 6/20/2018
PROPERTY ADDRESS:
Address: 885 SEMINOLE RD
RE Number: 170026 0000
PROPERTY OWNER:
Name: GEBHARDT KURT J
Address: 2233 SEMINOLE RD#3
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CRAWFORD ELECTRIC
Address: P 0 BOX 51045 P.O. BOX 51045
JACKSONVILLE BEACH, FL 32240
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 E R ES 17- oz (
•
DB ADDRESS: b I, ' II ! ° R I` PERMIT#
VALUE OF WORK$ 6 Ov
NEW SERVICE n Overhead n Underground I Ii Underground up Pole
❑Residential(Main) Service
00-100 amps 6101-150amps 0151-200amps 0 amps #of Meters
0 Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps 0 amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps 0 amps OCT Service amps
kDDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 3 0-30amps 31-100amps 101-200amps
Appliances: 1 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: q-
)THER ELECTRICAL PROJECTS
❑Swimming Pool 0 Sign 0 Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ 11 40(0)
EPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can 0 Safety Inspection EPanel Change ❑OH to UG
0 Other: Au, Ce
rmit 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
d 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
cified 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
istruction. I '' ll
)perty Owners Name LIQ n L OS 100 r n e- Phone Number tt 04)534-Jq .S'2
ctrical Company Unuuftyok. '1 eC r i c a i Corthachi Office Phone NI "boat I Fax 2)-4. ( --610Y]
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• 'folder (Print): (76h n Ca v ' yState Certification/Registration# E C t 3 00 2. 4
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� d Signature of License Holder /7b' _____ `
efore e this day of Of cam b.4-r 20 ( 1
4.4) JOOI RICHMOND
Mr COMMISSION ar FFD977570 ignature of Notary Public %Sj 1 ( ,: , _ 0
it EXPIRES:March 31,2020
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