1386 ROSE ST POOL ELEC 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: ERES18-0072
Description: SWIMMING POOL ELECTRIC
Estimated Value: 900
Issue Date: 3/14/2018
Expiration Date: 9/10/2018
PROPERTY ADDRESS:
Address: 1386 ROSE ST
RE Number: 171063 0300
PROPERTY OWNER:
Name: MADDOX JANICE KAYLENE
Address: 1386 ROSE ST
ATLANTIC BEACH, FL 32233-2647
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HABITAT ELECTRICAL CONTRACTORS
Address: 1628 HAMMOCK CIR QA JAMES H CONGER
JACKSONVILLE, FL 32225
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 QQ
Ph(904)247-5826 Fax(904) 247-5845 G R� ( V ~ b o7z
.TOB ADDRESS: l ?J�o C,1'r 'G 7eWP-G �k- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VAL UE OF WORK$ q ov' �_To
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main)Service
00-100 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
--DO-100 amps n 101-150amps n 151-200amps n amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ 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:
OTHEVLECTRICAL PROJECTS
VSwimming Pool ❑ Sign El Smoke Detectors_Qty ❑Transformers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S g d b b
REPAIRS/MISCELLANEOUS
nReplace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change F1 014 to IiG
❑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 �"Y. Phone Number
Electrical Company �W1171ti7K.t%> [�U ���� � Office Phone 3'2 i?moi Fax 1'q 6"0011?
Co. Address: Z*5 SI` lb{ti/b5 l City V> )!� State jG %i p 3W4'F'
License Holder(Print): State Certification/Registration#
lder
"`^pv pUB(i KAY C PALUSZYNSKI p
Notary Public State of Florida S and subscribed before th' day of �`0 20
{` 'oma: Commission x GG 021786
7 My Comm Expires Sep 18, 2020 Si afore of Notary Publ'