463 SARGO RD - ELECTRIC (2) SS• CITY OF ATLANTIC BEACH
• 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
;:ri ti9 INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0001
Description: UPGRADE SERVICE 200 AMPS, 240 VOLTS, SINGLE PHASES
Estimated Value: 0
Issue Date: 1/4/2018
Expiration Date: 7/3/2018
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: 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845 C RES g -- (;j o O I
JOB ADDRESS: 1`, S Sr, RJ q� RJ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2,00 AMPS "BOLTS / PHASE
Z.-1-0
VALUE OF WORK$
NEW SERVICE ❑ Overhead E Underground ❑1 Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑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
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
111100 amps ❑150amps ❑200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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
LI Swimming Pool LI Sign LI Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
CI Replace Burnt/Damaged Meter Can ❑Safety Inspection Aanel 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 {r," IL Gv A-i — Phone Number Cs �- 33 7
Electrical Company CJ `.4 67/4.c/I'l L Office Phone 2 y!-s-3?/ Fax
Co.Address: .-20/ //1,1► -ri Lc ,Jac- pi City ,/U/8 State 17 p
License Holder(Print): Jo le) 0/11.) NA j State Certification/Registration# / CJ3 op D 2 07
Notarized Signature of License Holder pp
l 1 worn d subscribed before this ii .ay of _�_ At / 20) U
EXPIRES OcIner 6,2,19
i' Ba_'edThaNa:.y?%cJ,cer��•:..3_J ignature of Notary Public c'� �