799 MAIN ST - ELECTRIC �s ' s� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'740,3 r-.)% INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0014
Description: PANEL CHANGE OUT
Estimated Value: 0
Issue Date: 1/12/2018
Expiration Date: 7/11/2018
PROPERTY ADDRESS:
Address: 799 MAIN ST
RE Number: 170944 0030
PROPERTY OWNER:
Name: WIEGMANN KATHY S
Address: 2440 BEACH BLVD
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MUNSON & BRYAN ELECTRICAL CO.
Address: 3434 ST AUGUSTINE RD 3434 ST.AUGUSTINE RD
JACKSONVILLE, FL 32207
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 //''
JOB ADDRESS: _799 MAIN ST._ATLANTIC BEACH FL,32233_PERMIT# ER ES (b - O 6 t4
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS 240 VOLTS _1_PHASE
VALUE OF WORK
NEW SERVICE ❑ Overhead n Underground n1 Underground up Pole
Li Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps [1151-200amps amps CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps [1101-150amps C1151-200amps L 1 amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100 amps ❑150amps 200amps ❑ amps [CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[Swimming Pool ❑ Sign [Smoke Detectors Qty [Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ 1000.00
REPAIRS/M1SCELLANEOUS
[Replace Burnt/Damaged Meter Can [Safety Inspection X Panel Change ❑OH 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 Kathy Widgamn Phone Number�„9c1 54146,
Electrical Company Munson and Bryan Electric Office Phone (904)396-6689 Fax (904)396-1136
Co. Address: 3434 ST Augustine Rd City Jacksonville S e FL Zip 32207
License Holder(Print): John Sciolino t ertification/Registration# EC-0001795
Notarized Signature of License Holder S�
;;;:. KIRK L.HEDRICKC.a. Sworn subscribed before me this '2 -clay of 20
`��
a., ..= Commission Commission#FF 244831 ,
.-=��-'�,� Expires July 7,2019 Signature of Notary Public �/.
'ite, : Bonded Thru Troy Farr Insurance 800-3857019