1896 BEACH AVE - ELECTRIC iii
(7--
' 'fr. ns CITY OF ATLANTIC BEACH
s> 800 SEMINOLE ROAD
\\„ -�, ATLANTIC BEACH, FL 32233
r.riir) INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0071
Description: 200 amps/240 volts/single-phase- replace burnt meter can
Estimated Value: 0
Issue Date: 3/5/2018
Expiration Date: 9/1/2018
PROPERTY ADDRESS:
Address: 1896 BEACH AVE
RE Number: 169542 0600
PROPERTY OWNER:
Name: MASON JOHN
Address: 1896 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CURRENT ELECTRICAL CONTRACTORS
Address: 11787 WORDSWORTH CT QA MARK J NECHVATAL
JACKSONVILLE, FL 32223
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845 E S ( g - 001-
JOB
O1-JOB ADDRESS: I 9+p Qq c),-N. A v e— PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 401), AMPS :-}p VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main) Service
LI 0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT 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 ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
71 'eplace Burnt/Damaged Meter Can ❑Safety Inspection ❑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 3—CAN^ M A So r, Phone Number 301- %As 1- $710 7
Electrical Company C..9,e_cL.. ,* E 1 t$ c,+( CoN ,,, Office Phone -P - 8588 Fax
Co.Address: (1-1$"t V• O n.As W O..,- C- City T't„v seu.v.11 t State FL. Zip 3 2 2.z)
License Holder(Print): M q z_v- State Certification/Registration# EC)3o oStogg
Notarized Signature of License Holder -oma
,:;7 , JENNIFER JOHNSTON Before me this 5- day of tO. �(C 20 (�
* ,a, H: MY COMMISSION#GG 042984
EXPIRES:October 27,2029 Signature of Notary Public
'•,of°;ate,• Bonded TMu Notary Public Underwriters
I+ r