1921 Seminole Rd elec permit r%
n CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0018
Description: 150 amps/120-240 volts/single-phase - add 2 outlets, 9 fixtu
Estimated Value: 0
Issue Date: 1/19/2018
Expiration Date: 7/18/2018
PROPERTY ADDRESS:
Address: 1921 SEMINOLE RD
RE Number: 169542 0530
PROPERTY OWNER:
Name: JONES RAYMOND E
Address: 1921 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5903
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ISLAND ELECTRIC OF THE FIRST C
Address: P.O. Box 50636
JACKSONVILLE BEACH, FL 32250
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: l „1//��2 ( 5&A11'0L1E ft. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ,V AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps [I CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: ��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
[]Swimming Pool ❑ Sign El Smoke Detectors_Qty []Transformers KVA 11 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAHtS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Other: &T-111 1""'1 A4 0
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 9KtoP>A Joan Phone Number
Electrical Company I SLA N� C% Yt W L 6�TN E A P25r "sf_u C-Office'W_ a0 -
6 j 0 89Fax
Co.Address: rO2 57R OL �O�� City 'ICK- a0 State M Zip 312��5_0
License Holder(Print): b �j g• State Certification/Registration#
.4.sisn"ture of Linse Holder
.o :e r L60 -ox-
JENNIFER JOHNSTONN#GGOSworn and subscribed before me this 1� ay of 1(t (1 U Cevi 20
¢` MY COMMISSION#GG 042984 _
N ` ' EXPIRES:October 27,2020
L%F °�' Bonded Thru Notary Public Underwriters Signature of No Public_r"_ V_