2031 BEACH AVE - ELECTRIC r'`
S y�`J'�1r,
ss1 CITY OF ATLANTIC BEACH
V
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
0.2 a%' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0035
Description: 200 amps/ 120-240 volts/single-phase -elec re-wire repair
Estimated Value: 0
Issue Date: 2/8/2018
Expiration Date: 8/7/2018
PROPERTY ADDRESS:
Address: 2031 BEACH AVE
RE Number: 169710 0000
PROPERTY OWNER:
Name: WINDSOR H BISSELL LIVING TRUST
Address: 2031 BEACH AVE
ATLANTIC BEACH, FL 32233
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 GeL----S - C ,
JOB ADDRESS: 20 3 J *0.Ca-! A 1/ - PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS "00O AMPS IZOLKOVOLTS , PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground nJ Underground up Pole
[Residential (Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
[Commercial(Main)Service
❑0-100 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
II Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT 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 ❑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 [Panel Change ❑OH to UG
Qther: &'WI't( 2 Sep 1 P (5 d-- Ba.TN 'PV r; TO Wu/cA'E ( µ4fZC
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 8 I 51 EPhone Number
Electrical Company C46.01,644 elarjUC, 50%31 ck- Office Phone WO-03(6/ Fax
Co.Address: f• O. .6 Ck -CitS 7 City XAk L5Ctf State FC Zip 2z'10
License Holder(Print): R r retAMGuState Certification/Registration# OA30 i 3404E
Notarized Signature o Lice ilder /1_2-4
/
;....... JCOMMISSION#GG 042984 ENNIFERJOHNSTON I;eforee thi day of F2 t��` 20
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'fl ` EXPIRES:October 27,2020
`eoa` Bonded Thru Notary Public Underwriters Signature of Notary Public /-�