1743 E PARK TER - ELECTRIC i-..".—
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CITY OF ATLANTIC BEACH
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k' ' 800 SEMINOLE ROAD
tATLANTIC BEACH, FL 32233
�0,i1rj INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0063
Description: 200 amps/240 volts/single-phase- panel change
Estimated Value: 0
Issue Date: 2/28/2018
Expiration Date: 8/27/2018
PROPERTY ADDRESS:
Address: 1743 E PARK TER
RE Number: 172020 0408
PROPERTY OWNER:
Name: FULLER ELZER T JR
Address: 935 CARPENTER PIKE
VERSAILLES, KY 40383
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FRANKLIN ELECTRIC SERVICE
Address: 4 TALLWOOD RD QA JARRETT ADAM FRANKLIN
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 &.S I '3 -00(03
JOB ADDRESS: � 7y 3 ?M T6Q,�bc,F eAsi— PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 00 AMPS Z90 VOLTS j PHASE
VALUE OF WORK$
NEW SERVICE E Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main)Service
❑0-100 amps ❑101-15Oamps ❑151-200amps II amps #of Meters
[Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ECT 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 El CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps LI200amps II amps ECT 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$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection II Panel Change II OH to UG
'8ther: £E.,?iACf AU. SPAPCH CA RN it AL. WlLIacj . ICE RAW' as EL
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 AA392)::4 I EP O t C-'/ Phone Number
Electrical Company �R4aikU a E t.Ec:17u C- Office Phone (.l1-ejt ZS Fax
Co.Address: 70. Sok 51 Z 31 City .SAY. $ca State re Lip ZZ'i 0
License Holder(Print): ,14l iffr F!1/�,ogmla) State Certification/Registration# (-1?• t 30)38913
Notarized Signature of License Holder
,`;�7oG;- JENNIFER JOHNSTON Be e me th' r, -% day of F-Q.A u GT--
fC,F,
20 (�
: , _ P/Y COMMISSION 8GO 042984
,y wtio ,�. EXPIRES:October 27,2ozo Signature of Notary Public ` T�—
\ o; Bonded Thru Notary Public Underxrters i